Organization
BEGINNING JOURNEYS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILL L SHADEL (PRESIDENT)
(815) 353-9625
Entity
Organization
Contact information
Practice address
3313 SHADOWOOD DR, CRYSTAL LAKE, IL 60012-1337
(815) 353-9625
Mailing address
3313 SHADOWOOD DR, CRYSTAL LAKE, IL 60012-1337
(815) 353-9625
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
JS75061000P
IL
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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