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Organization
EASTER SEALS JOLIET REGION
Active
Organization
EASTER SEALS JOLIET REGION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GARDNER (CFO)
(815) 927-5451
Entity
Organization
Contact information
Practice address
212 BARNEY DR, JOLIET, IL 60435-5271
(815) 725-2194
(815) 725-5150
Mailing address
212 BARNEY DR, JOLIET, IL 60435-5271
(815) 725-2194
(815) 725-5150
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
199100088C
IL
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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