| NPI | 1356682272 |
|---|---|
| Doing Business As | NORTHERN ILLINOIS ACADEMY |
| Entity Type | Organization |
| Authorized Contact | CAROLYN WILLANDT Executive Director 847-391-8014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2019-10-21 |