Channahon Dui Services, Llc

NPI 1144513938 - Early Intervention Provider Agency - 252Y00000X

NPI Details
NPI 1144513938
Enumeration Date 05/26/2011
Last Updated 05/26/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name GABRIELA GABRIELA
Position DIRECTOR/ASSESSOR
Phone (815) 210-1630
Fax
Practice Location
23157 THOMAS DILLON DRIVE
CHANNAHON IL, 60410, US
Phone (815) 210-1630
Fax
Business Location
23157 THOMAS DILLON DRIVE
CHANNAHON IL, 60410, US
Phone
Fax
Toxanomy
Taxonomy Code 252Y00000X
License State
License Number
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According to our database, Channahon Dui Services, Llc NPI is 1144513938, taxonomy code is 252Y00000X Channahon Dui Services, Llc physically located at 23157 Thomas Dillon Drive, Channahon IL, 60410. NPI Number 1033115704 has the healthcare provider type.

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1144513938 NPI number is provided on an as is basis without warranty of any kind. 1144513938 is maintained by the National Plan & Provider Enumeration System. The contents of Channahon Dui Services, Llc are for informational purposes only.