Organization
AID
Active
Other names
AID - Dayton
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN O'SHEA (PRESIDENT)
(630) 966-4001
Entity
Organization
Contact information
Practice address
4001 W DAYTON ST, MCHENRY, IL 60050-8377
(630) 966-4000
Mailing address
309 NEW INDIAN TRAIL CT, AURORA, IL 60506-2411
(630) 966-4000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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