| Association For Individual Development | |
|
1135 Bowes Rd Elgin IL 60123-5541 | |
| (847) 888-5540 | |
| (847) 888-6079 |
| Full Name | Association For Individual Development |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1135 Bowes Rd, Elgin, Illinois |
| Authorized Official Name and Position | Frances L. Baker (PRESIDENT) |
| Authorized Official Contact | 6309664001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Association For Individual Development 309 W. New Indian Trail Court Aurora IL 60506-2494 Ph: (630) 966-4000 | Association For Individual Development 1135 Bowes Rd Elgin IL 60123-5541 Ph: (847) 888-5540 |
| NPI Number | 1871745984 |
|---|---|
| Provider Enumeration Date | 10/21/2008 |
| Last Update Date | 03/08/2021 |
| Certification Date | 03/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871745984 | NPI | - | NPPES |
| 04008 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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