Organization
MD DEVELOPMENTAL AGENCY LLC
Active
Parent organization
M.D DEVELOPMENTAL AGENCY LLC
Other names
MD Developmental Agency
Organization subpart
Yes
Provider details
NPI number
Legal business name
M.D DEVELOPMENTAL AGENCY LLC
Authorized official
MONIQUE ROBINSON (OWNER)
(708) 253-9271
Entity
Organization
Contact information
Practice address
1501 E 72ND ST, CHICAGO, IL 60619-1511
(708) 253-9271
Mailing address
2520 SAINT ROSE PKWY STE 216, HENDERSON, NV 89074-7789
(708) 253-9271
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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