OrganizationActive
Kids Above All Illinois
NPI 1154647089 · Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL
Provider details
- NPI number
- 1154647089
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeri Laureano, Chief Operating Officer(847) 284-0430
- License
- 012033-11 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
2808 W Chicago Ave
Chicago, IL 60622-7833
Phone: (773) 867-7319
Fax: (773) 626-3495
Street-level locationGet directions
Mailing address
8765 W Higgins Rd
Chicago, IL 60631-4101
Registry dates
- Enumerated
- 2010-04-16
- Last updated
- 2021-04-19
- Certified
- 2021-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.