Organization
INDIVIDUALIZED SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMMARIE ANN BROWN M.A., QMRP (PRESIDENT)
(309) 262-8006
Entity
Organization
Contact information
Practice address
1322 N LINDEN ST, BLOOMINGTON, IL 61701-1939
(309) 262-8006
(309) 807-2768
Mailing address
PO BOX 64, BLOOMINGTON, IL 61702-0064
(309) 262-8006
(309) 807-2768
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251B00000X
IL
Other
Enumeration date
12/14/2008
Last updated
12/14/2008
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