OrganizationActive
Illinois Children & Family Development Center LLC
NPI 1013590793 · Community/Behavioral Health Agency · Chicago, IL
Provider details
- NPI number
- 1013590793
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Timeica Bethel, Chief Executive Officer(708) 971-0966
Specialties & taxonomies
Agencies
Agencies
- Early Intervention Provider Agency252Y00000X
Agencies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities
Residential Treatment Facilities
- Case Management Agency251B00000X
Agencies
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
47 W Polk St Ste 100-240
Chicago, IL 60605-2000
Phone: (708) 971-0966
Street-level locationGet directions
Mailing address
47 W Polk St Ste 100-240
Chicago, IL 60605-2000
Registry dates
- Enumerated
- 2021-04-30
- Last updated
- 2021-04-30
- Certified
- 2021-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.