Organization
OAK PARK AUTISM CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRISSA WEAKLEY (CREDENTIALING AND BILLING SPEC)
(779) 348-9850
Entity
Organization
Contact information
Practice address
7121A NORTH AVE, OAK PARK, IL 60302-1002
(708) 270-1665
(872) 260-0900
Mailing address
7121A NORTH AVE, OAK PARK, IL 60302-1002
(708) 270-1665
(872) 260-0900
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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