Provider Demographics
NPI:1992800510
Name:FAMILY TREATMENT CENTERS SC
Entity type:Organization
Organization Name:FAMILY TREATMENT CENTERS SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:HELEN
Authorized Official - Last Name:REILLY
Authorized Official - Suffix:
Authorized Official - Credentials:MD FACC
Authorized Official - Phone:847-991-7440
Mailing Address - Street 1:500 NORTH HICKS ROAD
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-3647
Mailing Address - Country:US
Mailing Address - Phone:847-991-7440
Mailing Address - Fax:847-991-9348
Practice Address - Street 1:500 NORTH HICKS ROAD
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-3647
Practice Address - Country:US
Practice Address - Phone:847-991-7440
Practice Address - Fax:847-991-9348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty