Organization
CATINA BALLIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATINA MARY BALLIN (DSP)
(630) 390-4665
Entity
Organization
Contact information
Practice address
8808 RILEY ROAD, WONDERLAKE, IL 60097
(630) 390-4666
Mailing address
8808 RILEY RD, WONDER LAKE, IL 60097-8986
(630) 390-4665
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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