OrganizationActive
Lawrence Hall Youth Services
NPI 1659797967 · Emotionally Disturbed Childrens' Residential Treatment Facility · Elgin, IL
Provider details
- NPI number
- 1659797967
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mark Nufer, Chief Financial Officer(773) 728-2807
- License
- 528321-01 (IL)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense 528321-01 (IL)
Residential Treatment Facilities
Agencies
Practice location
455 N Shady Oaks Dr
Elgin, IL 60120-4309
Phone: (773) 728-2807
Approximate (ZIP-level) locationGet directions
Mailing address
2737 W Peterson Ave
Chicago, IL 60659-3927
Registry dates
- Enumerated
- 2014-03-11
- Last updated
- 2014-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.