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Organization
ALLENDALE ASSOCIATION
Active
Organization
ALLENDALE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER ANTHONY SCHRANTZ CPA, JD (CHIEF FINANCIAL OFFICER)
(847) 245-6214
Entity
Organization
Contact information
Practice address
421 W WATER ST, WAUKEGAN, IL 60085-5527
(847) 360-9560
(847) 360-0195
Mailing address
PO BOX 1088, LAKE VILLA, IL 60046-1088
(847) 356-2351
(847) 356-2393
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
09/21/2018
Last updated
05/03/2021
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