Allendale Association
Allendale Association is a Child & Adolescent Psychiatry Physician in Lake Villa, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 5
Practice location Partly verified
Grand Ave And Offield DrLake Villa, IL 60046-1088
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
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|---|
| Child & Adolescent Psychiatry Physician | Taxonomy 2084P0804X |
| Mental Health Clinic/Center (Including Community Mental Health Center) | Taxonomy 261QM0801X · Licence 001 (IL) |
| Adolescent and Children Mental Health Clinic/Center | Taxonomy 261QM0855X · Licence 001300-10 (IL) |
| Emotionally Disturbed Childrens' Residential Treatment Facility | Taxonomy 322D00000X |
Record details
| NPI number | 1821051608 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Christopher Schrantz — Chief Financial Officer · (847) 245-6214 |
| NPI enumerated | April 11, 2006 |
| Last updated in NPPES | July 21, 2022 |
| Certification date | May 5, 2021 |
| Mailing address | 600 W Grand Ave, P.O. Box 1088, Lake Villa, IL 60046-8034 |
Other providers in Lake Villa
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Allendale Association
600 W Grand Ave, Lake Villa, IL 60046-8034 · (847) 356-2351