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Organization

ABA OF WISCONSIN, LLC

Active
Parent organization
ABA OF ILLINOIS, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ABA OF ILLINOIS, LLC
Authorized official
ERIN RABER (PROGRAM MANAGER)
(715) 600-2211
Entity
Organization

Contact information

Practice address
1501 DOGWOOD DR, WOODRIDGE, IL 60517-4649
(715) 600-2211
(630) 395-9198
Mailing address
1501 DOGWOOD DR, WOODRIDGE, IL 60517-4649
(715) 600-2211
(630) 395-9198

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
06/30/2015
Last updated
01/26/2016
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