# ADOLESCENT AND YOUNG ADULT PLACE LTD

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

## Provider details

- **NPI number:** 1417259979
- **Authorized official:** MARGO ANTOINETTE BELL M.D. (OWNER)
- **Authorized official phone:** (312) 859-2491

## Contact information

- **Practice address:** 9 N CICERO AVE, CHICAGO, IL 60644-3602
- **Practice address phone:** (312) 859-2491
- **Mailing address:** PO BOX 795, HILLSIDE, IL 60162-0795
- **Mailing address phone:** (708) 544-6553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 036086432 | IL | Yes |

## Other

- **Enumeration date:** 12/03/2010
- **Last updated:** 12/03/2010