OrganizationActive
Outreach Youth & Family Services
NPI 1063767010 · Child Intellectual and/or Developmental Disabilities Respite Care · Chicago, IL
Provider details
- NPI number
- 1063767010
- Entity type
- Organization
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Eddie Phillips, President & Executive Director(773) 840-4497
Specialties & taxonomies
Respite Care Facility
- Preferred Provider Organization305R00000X
Managed Care Organizations
- Child Mental Illness Respite Care385HR2055X
Respite Care Facility
Practice location
9443 S Throop St
Chicago, IL 60620-3625
Phone: (773) 840-4497
Fax: (773) 905-1369
Approximate (ZIP-level) locationGet directions
Mailing address
9443 S Throop St
Chicago, IL 60620-3625
Other names (DBA / former)
- Doing business as
- Outreach Youth & Family Services
Registry dates
- Enumerated
- 2012-07-16
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.