Organization
MARYVILLE ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORM JOYCE (CFO)
(847) 294-1944
Entity
Organization
Contact information
Practice address
555 WILSON LN, DES PLAINES, IL 60016-4729
(847) 768-5461
(847) 768-5478
Mailing address
1150 N RIVER RD, DES PLAINES, IL 60016-1214
(847) 294-1999
(847) 294-2892
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
1702101
IL
Other
Enumeration date
06/03/2006
Last updated
02/21/2014
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