Organization
KESHET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE EBNER (CFO)
(847) 205-1234
Entity
Organization
Contact information
Practice address
8140 MCCORMICK BLVD, SKOKIE, IL 60076-2920
(847) 674-5711
Mailing address
600 ACADEMY DR, SUITE 130, NORTHBROOK, IL 60062-2408
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
16003
IL
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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