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Organization

ADVANTAGE GROUP FOUNDATION, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELLE KALEMBA (ASSOCIATE DIRECTOR)
(815) 444-6400
Entity
Organization

Contact information

Practice address
422 TAG WAY, CRYSTAL LAKE, IL 60014-6288
(815) 444-6400
(815) 444-6816
Mailing address
422 TAG WAY, CRYSTAL LAKE, IL 60014-6288
(815) 444-6400
(815) 444-6816

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0834
IL

Other

Enumeration date
11/15/2006
Last updated
08/22/2020
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