Whalio Doctors

NPI 1417396557

Cabs

Organisation Community/Behavioral Health Agency Waukegan, IL

Practice location

Address
3010 Grand Ave, Waukegan, IL 60085-2321
Phone
(847) 377-8950

Authorised official

Name
Jerome Clark
Title
Student Intern
Phone
(847) 377-8950

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X

Registry record

NPI
1417396557
Entity type
Organization
NPI issued
21 Jun 2013
Record last updated
21 Jun 2013

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.