Organization
APPLIED BEHAVIORAL INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYLISHA WILLIS (OPERATIONS MANAGER)
(312) 842-4498
Entity
Organization
Contact information
Practice address
2248 S MICHIGAN AVE, CHICAGO, IL 60616-5258
(312) 842-4498
(312) 842-6545
Mailing address
2248 S MICHIGAN AVE, CHICAGO, IL 60616-5258
(312) 842-4498
(312) 842-6545
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
1-11-8171
IL
Other
Enumeration date
12/27/2012
Last updated
01/22/2015
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