Organization
CONSULTANTS CONSORTIUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETHEL STRANDT (OWNER)
(630) 653-9337
Entity
Organization
Contact information
Practice address
1547 CASTLEWOOD DR, WHEATON, IL 60187-7527
(630) 653-9337
Mailing address
1547 CASTLEWOOD DR, WHEATON, IL 60187-7527
(630) 653-9337
(630) 653-9365
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39330165801
—
IL
Enumeration date
08/22/2007
Last updated
08/22/2007
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