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1033730791
AUTISM SUPPORT CHICAGO LLC
JOLIET, IL
NPI
1033730791
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Entity Type
Organization
Authorized Contact
LESLIE LUCKEY
Credentialing/Billing Manager
765-860-7198
Organization Subpart ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2020-05-04
Last Update Date
2020-05-06
Business Address
AUTISM SUPPORT CHICAGO LLC
401 BURKE DR
JOLIET, IL 60433-2113
Phone number: 815-630-6408
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Mailing Address
AUTISM SUPPORT CHICAGO LLC
3003 GARI BALDI WAY
SPRING HILL, TN 37174-6282
Phone number: 815-630-6408
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