NORTHWEST AUTISM DIAGNOSTIC CENTER, LLC

CRYSTAL LAKE, IL
NPI1528675329
Entity TypeOrganization
Authorized ContactCOURTNEY DIRKSEN
Owner
224-206-5415
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2020-09-25
Last Update Date2020-09-25
Business Address
NORTHWEST AUTISM DIAGNOSTIC CENTER, LLC
394 FEDERAL DR
CRYSTAL LAKE, IL 60014-6281
Phone number: 224-206-5415
Mailing Address
NORTHWEST AUTISM DIAGNOSTIC CENTER, LLC
PO BOX 2257
CHESTERTON, IN 46304-0357
Phone number: 219-926-8320
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