Organization
DEVORA'S DREAM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA FISHER (EXECUTIVE DIRECTOR)
(224) 558-4509
Entity
Organization
Contact information
Practice address
2323 OLD GLENVIEW RD, WILMETTE, IL 60091-3113
(224) 558-4509
(847) 256-1824
Mailing address
2323 OLD GLENVIEW RD, WILMETTE, IL 60091-3113
(224) 558-4509
(847) 256-1824
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
IL
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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