Organization
DAWONDERYEARS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE MACK (PRESIDENT)
(773) 474-4188
Entity
Organization
Contact information
Practice address
47 W DIVISION ST STE 211, CHICAGO, IL 60610-2954
(773) 474-4199
Mailing address
47 W DIVISION ST STE 211, CHICAGO, IL 60610-2954
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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