Whalio Doctors

NPI 1548744972

Allendale Association

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Lake Villa, IL

Practice location

Address
600 W Grand Ave, Lake Villa, IL 60046-8034
Phone
(847) 356-2351
Fax
(847) 356-2393

Authorised official

Name
Christopher Anthony Schrantz
Title
Chief Financial Officer
Phone
(847) 245-6214

Registered specialties (2)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X
Child & Adolescent Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0804X

Registry record

NPI
1548744972
Entity type
Organization
NPI issued
21 Sep 2018
Record last updated
3 May 2021

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.