NPI 1417396557
Cabs
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
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.