OrganizationActive
Kids Above All Illinois
NPI 1811247604 · Mental Health Clinic/Center (Including Community Mental Health Center) · Lisle, IL
Provider details
- NPI number
- 1811247604
- 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, Coo(847) 284-0430
Specialties & taxonomies
Ambulatory Health Care Facilities
Residential Treatment Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
4603 Main St
Lisle, IL 60532-1219
Phone: (773) 693-0300
Street-level locationGet directions
Mailing address
8765 W Higgins Rd
Chicago, IL 60631-4101
Registry dates
- Enumerated
- 2012-09-19
- 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.