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Organization
OAK PARK AUTISM CLINIC INC
Active
Organization
OAK PARK AUTISM CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRISSA WEAKLEY (CREDENTIALING AND BILLING SPEC)
(779) 348-9850
Entity
Organization
Contact information
Practice address
7121A NORTH AVE, OAK PARK, IL 60302-1002
(708) 270-1665
(872) 260-0900
Mailing address
7121A NORTH AVE, OAK PARK, IL 60302-1002
(708) 270-1665
(872) 260-0900
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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