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Organization

THE LARKIN CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DENNIS L GRAF M.A. (EXECUTIVE DIRECTOR)
(847) 695-5656
Entity
Organization

Contact information

Practice address
515 SPORTS WAY DRIVE, ELGIN, IL 60123
(847) 888-9590
(847) 888-9678
Mailing address
1212 LARKIN AVE, ELGIN, IL 60123-6042
(847) 695-5656
(847) 695-0897

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
38443402033068
IL
251S00000X
Community/Behavioral Health Agency
Primary
38443402033068
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00465172033048
DCFS CONTRACT
IL
01
00954672033048
DCFS CONTRACT
IL
01
01578872033048
DCFS CONTRACT
IL
01
02116072013018
DCFS CONTRACT
IL
01
21335772033048
DCFS CONTRACT
IL
01
24728372033048
DCFS CONTRACT
IL
01
38443402033068
DCFS CONTRACT
IL
Enumeration date
03/03/2008
Last updated
03/03/2008
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