Organization
AFG GUIDANCE CENTER KENILWORTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFREDA FALKOWSKA-GROSRENAUD M.D. (PRESIDENT)
(773) 510-5013
Entity
Organization
Contact information
Practice address
444 GREEN BAY RD, KENILWORTH, IL 60043-1001
(847) 853-0234
(847) 853-0230
Mailing address
444 GREEN BAY RD, KENILWORTH, IL 60043-1001
(847) 853-0234
(847) 853-0230
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
036092952
IL
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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