Organization
BLENDING FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN ANGELL (OWNER)
(847) 838-9904
Entity
Organization
Contact information
Practice address
800 MAIN ST, SUITE 5, ANTIOCH, IL 60002-1542
(847) 838-9904
(847) 838-9907
Mailing address
800 MAIN ST, SUITE 5, ANTIOCH, IL 60002-1542
(847) 838-9904
(847) 838-9907
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180005858
IL
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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