| Aba Of Wisconsin, Llc | |
|
1501 Dogwood Dr Woodridge IL 60517-4649 | |
| (715) 600-2211 | |
| (630) 395-9198 |
| Full Name | Aba Of Wisconsin, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1501 Dogwood Dr, Woodridge, Illinois |
| Authorized Official Name and Position | Erin Raber (PROGRAM MANAGER) |
| Authorized Official Contact | 7156002211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Of Wisconsin, Llc 1501 Dogwood Dr Woodridge IL 60517-4649 Ph: (715) 600-2211 | Aba Of Wisconsin, Llc 1501 Dogwood Dr Woodridge IL 60517-4649 Ph: (715) 600-2211 |
| NPI Number | 1104209923 |
|---|---|
| Provider Enumeration Date | 06/30/2015 |
| Last Update Date | 01/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104209923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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