| Instructional Aba Consultants Waiver Services | |
|
4615 W 103rd St Oak Lawn IL 60453-4718 | |
| (331) 229-8839 | |
| (331) 256-1900 |
| Full Name | Instructional Aba Consultants Waiver Services |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 4615 W 103rd St, Oak Lawn, Illinois |
| Authorized Official Name and Position | Jessica K Topalov (CEO) |
| Authorized Official Contact | 6306013151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Instructional Aba Consultants Waiver Services 4615 W 103rd St Oak Lawn IL 60453-4718 Ph: (331) 229-8839 | Instructional Aba Consultants Waiver Services 4615 W 103rd St Oak Lawn IL 60453-4718 Ph: (331) 229-8839 |
| NPI Number | 1326707365 |
|---|---|
| Provider Enumeration Date | 12/16/2021 |
| Last Update Date | 12/16/2021 |
| Certification Date | 12/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326707365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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