| Autism Clinic Corp | |
|
7255 Georgetown Cmns Frankfort IL 60423-3001 | |
| (708) 378-4550 | |
| (630) 920-0552 |
| Full Name | Autism Clinic Corp |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7255 Georgetown Cmns, Frankfort, Illinois |
| Authorized Official Name and Position | Shaden S Kassar (ADMINSTOR) |
| Authorized Official Contact | 6306319623 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Clinic Corp 7255 Georgetown Cmns Frankfort IL 60423-3001 Ph: (708) 378-4550 | Autism Clinic Corp 7255 Georgetown Cmns Frankfort IL 60423-3001 Ph: (708) 378-4550 |
| NPI Number | 1093394124 |
|---|---|
| Provider Enumeration Date | 04/06/2021 |
| Last Update Date | 06/24/2021 |
| Certification Date | 06/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093394124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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