# DEVELOPMENTAL SPECIALISTS OF SOUTHEASTERN IL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073628350
- **Authorized official:** CATHERINE ROSS (PRESIDENT)
- **Authorized official phone:** (618) 393-7732

## Contact information

- **Practice address:** 905 E MAIN ST, OLNEY, IL 62450-2623
- **Practice address phone:** (618) 393-7732
- **Practice address fax:** (618) 395-3123
- **Mailing address:** 905 E MAIN ST, OLNEY, IL 62450-2623
- **Mailing address phone:** (618) 393-7732
- **Mailing address fax:** (618) 395-3123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 04/09/2009