| Autism Behavior & Childhood Service, Inc. | |
|
13664 Anne Drive Lemont IL 60439 | |
| (312) 420-2093 | |
| (331) 318-8415 |
| Full Name | Autism Behavior & Childhood Service, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 13664 Anne Drive, Lemont, Illinois |
| Authorized Official Name and Position | Cristy Marie Calderon (OWNER/PRESIDENT) |
| Authorized Official Contact | 3124202093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Behavior & Childhood Service, Inc. 13664 Anne Drive Lemont IL 60439 Ph: (312) 420-2093 | Autism Behavior & Childhood Service, Inc. 13664 Anne Drive Lemont IL 60439 Ph: (312) 420-2093 |
| NPI Number | 1629341433 |
|---|---|
| Provider Enumeration Date | 02/10/2012 |
| Last Update Date | 07/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629341433 | NPI | - | NPPES |
| 1093017394 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Illinois) | Primary |
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