Whalio Doctors

NPI 1114159746

Autism Services of the North Shore, INC.

Organisation Developmentally Disabled Services Day Training Agency Evanston, IL

Practice location

Address
844 Hinman Ave APT 1, Evanston, IL 60202-5914
Phone
(847) 869-1505

Authorised official

Name
Mirela Lucia Vesa
Title
President
Phone
(847) 869-1505

Registered specialties (4)

Developmentally Disabled Services Day Training Agency Primary
Agencies Taxonomy 251C00000X Licence 146009727 (IL)
Developmentally Disabled Services Day Training Agency
Agencies Taxonomy 251C00000X Licence 056004090 (IL)
Developmentally Disabled Services Day Training Agency
Agencies Taxonomy 251C00000X Licence 070011141 (IL)
Developmentally Disabled Services Day Training Agency
Agencies Taxonomy 251C00000X Licence 146003437 (IL)

Registry record

NPI
1114159746
Entity type
Organization
NPI issued
15 Aug 2009
Record last updated
29 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.