Organization
CHERUBIM DEVELOPMENTAL TRAINING PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN JOHNSON ME.D (PRESIDENT/CEO/QIDP)
(630) 715-7278
Entity
Organization
Contact information
Practice address
211 E ILLINOIS ST, UNIT 2, WHEATON, IL 60187-5403
(630) 715-7278
(630) 588-8883
Mailing address
211 E ILLINOIS ST, UNIT 2, WHEATON, IL 60187-5403
(630) 715-7278
(630) 588-8883
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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