ASSOCIAITON FOR INDIVIDUAL DEVELOPMENT
NPI 1063198869
Clinic/Center - Mental Health (Including Community Mental Health Center) in West Chicago, IL
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About ASSOCIAITON FOR INDIVIDUAL DEVELOPMENT
This page provides the complete NPI Profile along with additional information for Associaiton For Individual Development, a provider established in West Chicago, Illinois operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1063198869 assigned on June 2023. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Frances Lorene Baker (Ceo)
- NPI
- 1063198869 Verify this NPI
- Provider Name
- ASSOCIAITON FOR INDIVIDUAL DEVELOPMENT
- Entity Type
- Organization
- Location Address
- 487 MAIN STREET WEST CHICAGO, IL 60185
- Location Phone
- (630) 966-4055
- Location Fax
- (630) 844-2065
- Mailing Address
- 309 NEW INDIAN TRAIL CT. AURORA, IL 60506
- Mailing Phone
- (630) 966-4000
- Mailing Fax
- (630) 844-2065
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-26-2023
- Last Update Date
- 06-26-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063198869, enumerated as an "organization" on June 26, 2023.
The provider is located at 487 MAIN STREET WEST CHICAGO, IL 60185 and the phone number is (630) 966-4055.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).