Organization
COUNTRYSIDE ASSOCIATION FOR PEOPLE WITH DISABILITIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE A. KULICK (EXECUTIVE DIRECTOR)
(847) 438-8855
Entity
Organization
Contact information
Practice address
21154 W SHIRLEY RD, PALATINE, IL 60074-2028
(847) 438-8855
(847) 438-9698
Mailing address
21154 W SHIRLEY RD, PALATINE, IL 60074-2028
(847) 438-8855
(847) 438-9698
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/23/2007
Last updated
09/11/2025
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