Whalio Doctors

NPI 1568743482

Have Dreams

Organisation Community/Behavioral Health Agency Park Ridge, IL

Practice location

Address
515 Busse Hwy 150, Park Ridge, IL 60068-3154
Phone
(847) 685-0250
Fax
(847) 685-0257

Authorised official

Name
Kris Johnsen
Title
Executive Director
Phone
(847) 685-0250

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X

Registry record

NPI
1568743482
Entity type
Organization
NPI issued
6 Sep 2011
Record last updated
6 Sep 2011

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.