Provider Demographics
NPI:1114042405
Name:ASSOCIATES IN FAMILY CARE, LTD
Entity type:Organization
Organization Name:ASSOCIATES IN FAMILY CARE, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:SHALLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-983-0600
Mailing Address - Street 1:650 E DIEHL RD STE 121
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-4812
Mailing Address - Country:US
Mailing Address - Phone:630-983-0600
Mailing Address - Fax:630-983-3590
Practice Address - Street 1:650 E DIEHL RD STE 121
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-4812
Practice Address - Country:US
Practice Address - Phone:630-983-0600
Practice Address - Fax:630-983-3590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL060-005885103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty