| Allendale Association | |
|
600 W Grand Ave Lake Villa IL 60046-8034 | |
| (847) 356-2351 | |
| (847) 356-2393 |
| Full Name | Allendale Association |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 600 W Grand Ave, Lake Villa, Illinois |
| Authorized Official Name and Position | Christopher Anthony Schrantz (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8472456214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allendale Association 600 W Grand Ave Lake Villa IL 60046-8034 Ph: (847) 356-2351 | Allendale Association 600 W Grand Ave Lake Villa IL 60046-8034 Ph: (847) 356-2351 |
| NPI Number | 1548744972 |
|---|---|
| Provider Enumeration Date | 09/21/2018 |
| Last Update Date | 05/03/2021 |
| Certification Date | 05/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548744972 | NPI | - | NPPES |
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