Organization
M.D DEVELOPMENTAL AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA STEWART (OWNER)
(773) 407-7558
Entity
Organization
Contact information
Practice address
3335 S INDIANA AVE, CHICAGO, IL 60616-3838
(708) 253-9271
Mailing address
1501 E 72ND ST, CHICAGO, IL 60619-1511
(773) 407-7558
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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