NPI 1982870689

Options & Advocacy

Organisation Supports Brokerage Agency Crystal Lake, IL

Practice location

Address: 365 Millennium Dr STE a, Crystal Lake, IL 60012-3747
Phone: (815) 477-4720
Fax: (815) 477-4700

Authorised official

Name: Linda R Popp
Title: Accreditation Specialist
Phone: (815) 477-4720

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

Other Supports Brokerage providers in Illinois →

Registry record

NPI: 1982870689
Entity type: Organization
NPI issued: 2 May 2008
Record last updated: 2 May 2008

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.