Organization
AUTISM SERVICES OF THE NORTH SHORE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRELA LUCIA VESA MA (PRESIDENT)
(847) 869-1505
Entity
Organization
Contact information
Practice address
844 HINMAN AVE APT 1, EVANSTON, IL 60202-5914
(847) 869-1505
Mailing address
844 HINMAN AVE APT 1, EVANSTON, IL 60202-5914
(847) 869-1505
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
056004090
IL
251C00000X
Developmentally Disabled Services Day Training Agency
070011141
IL
251C00000X
Developmentally Disabled Services Day Training Agency
146003437
IL
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
146009727
IL
Other
Enumeration date
08/15/2009
Last updated
08/29/2009
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