Organization
AMCCAIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKILIA MCCAIN M.S. (PRESIDENT)
(219) 805-4947
Entity
Organization
Contact information
Practice address
1507 E 53RD ST, #932, CHICAGO, IL 60615-4573
(219) 805-4947
Mailing address
1507 E 53RD ST, #932, CHICAGO, IL 60615-4573
(219) 805-4947
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
146006026
IL
252Y00000X
Early Intervention Provider Agency
146006026
IL
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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