Organization
ALLENDALE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER ANTHONY SCHRANTZ CPA, JD (CHIEF FINANCIAL OFFICER)
(847) 245-6214
Entity
Organization
Contact information
Practice address
600 W GRAND AVE, LAKE VILLA, IL 60046-8034
(847) 356-2351
(847) 356-2393
Mailing address
600 W GRAND AVE, LAKE VILLA, IL 60046-8034
(847) 356-2351
(847) 356-2393
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/21/2018
Last updated
05/03/2021
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