Provider Demographics
NPI:1881393437
Name:VOLUNTEERS OF AMERICA OF ILLINOIS
Entity type:Organization
Organization Name:VOLUNTEERS OF AMERICA OF ILLINOIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF BEHAVIORAL HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOY
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:312-564-2356
Mailing Address - Street 1:1919 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MELROSE PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60160-3737
Mailing Address - Country:US
Mailing Address - Phone:312-810-4340
Mailing Address - Fax:
Practice Address - Street 1:1919 MAIN ST
Practice Address - Street 2:
Practice Address - City:MELROSE PARK
Practice Address - State:IL
Practice Address - Zip Code:60160-3737
Practice Address - Country:US
Practice Address - Phone:312-810-4340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VOLUNTEERS OF AMERICA OF ILLINOIS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty