Allendale Association
Allendale Association is a Child & Adolescent Psychiatry Physician in Lake Villa, Illinois. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
600 W Grand AveLake Villa, IL 60046-8034
Phone: (847) 356-2351
Fax: (847) 356-2393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X |
|---|---|
| Child & Adolescent Psychiatry Physician | Taxonomy 2084P0804X |
Record details
| NPI number | 1548744972 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Christopher Schrantz — Chief Financial Officer · (847) 245-6214 |
| NPI enumerated | September 21, 2018 |
| Last updated in NPPES | May 3, 2021 |
| Certification date | May 3, 2021 |
| Mailing address | 600 W Grand Ave, Lake Villa, IL 60046-8034 |
Other providers in Lake Villa
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Allendale Association
Grand Ave And Offield Dr, Lake Villa, IL 60046-1088 · (847) 356-2351