# MARYVILLE ACADEMY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Dominic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245118447
- **Authorized official:** FREDERICK SMITH (ADMINISTRATOR OF COMMUNITY SERVICES)
- **Authorized official phone:** (847) 390-3004

## Contact information

- **Practice address:** 1150 N RIVER RD, DES PLAINES, IL 60016-1214
- **Practice address phone:** (847) 294-1999
- **Mailing address:** 1150 N RIVER RD, DES PLAINES, IL 60016-1214
- **Mailing address phone:** (847) 294-1999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/25/2025
- **Last updated:** 08/25/2025