Organization
ADULT EDUCATION ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL C TUCKER MS CADC (PROGRAM DIRECTOR)
(815) 284-3940
Entity
Organization
Contact information
Practice address
748 TIMBERCREEK ROAD, DIXON, IL 61021
(815) 284-3940
(815) 284-9267
Mailing address
748 TIMBERCREEK ROAD, DIXON, IL 61021
(815) 284-3940
(815) 284-9267
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0041206004
IL
Other
Enumeration date
11/17/2007
Last updated
11/17/2007
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