ALLENDALE ASSOCIATION NPI 1053619528

NPI Information

NPI: 1053619528
Provider Name: ALLENDALE ASSOCIATION

Other Name: WALTER L. CHERRY GROUP HOME

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
421 W WATER ST
WAUKEGAN, IL
ZIP 60085
Phone: (847) 360-9560
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ALLENDALE ASSOCIATION is a mental health (including community mental health center) clinic center in Waukegan, IL. ALLENDALE ASSOCIATION NPI is 1053619528. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Walter L. Cherry Group Home.

The provider's business location address is:

421 W WATER ST
WAUKEGAN, IL
ZIP 60085-527
Phone: (847) 360-9560
Fax: (847) 360-0195

The provider's authorized official is Christopher Anthony Schrantz .
The authorized official title is Chief Financial Officer and has the following contact phone number (847) 245-6214.

The enumeration date for this NPI number is 3/8/2011 and was last updated on 5/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry			No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes
3	320800000X	Community Based Residential Treatment Facility, Mental Illness		110330-09	ILLINOIS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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