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Organization
ADVANTAGE GROUP FOUNDATION, LTD
Active
Organization
ADVANTAGE GROUP FOUNDATION, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE KALEMBA (ASSOCIATE DIRECTOR)
(815) 444-6400
Entity
Organization
Contact information
Practice address
422 TAG WAY, CRYSTAL LAKE, IL 60014-6288
(815) 444-6400
(815) 444-6816
Mailing address
422 TAG WAY, CRYSTAL LAKE, IL 60014-6288
(815) 444-6400
(815) 444-6816
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0834
IL
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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