| Associaiton For Individual Development | |
|
487 Main Street West Chicago IL 60185 | |
| (630) 966-4055 | |
| (630) 844-2065 |
| Full Name | Associaiton For Individual Development |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 487 Main Street, West Chicago, Illinois |
| Authorized Official Name and Position | Frances Lorene Baker (CEO) |
| Authorized Official Contact | 6309664001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associaiton For Individual Development 309 New Indian Trail Ct. Aurora IL 60506 Ph: (630) 966-4000 | Associaiton For Individual Development 487 Main Street West Chicago IL 60185 Ph: (630) 966-4055 |
| NPI Number | 1063198869 |
|---|---|
| Provider Enumeration Date | 06/26/2023 |
| Last Update Date | 06/26/2023 |
| Certification Date | 06/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063198869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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