Organization
KARRIEM'S DEVELOPMENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEESHA KARRIEM DM (EXECUTIVE DIRECTOR)
(708) 212-3520
Entity
Organization
Contact information
Practice address
18513 RIVER ROAD, HAZEL CREST, IL 60429
(708) 212-3520
Mailing address
18513 RIVER ROAD, HAZEL CREST, IL 60429
(708) 212-3520
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
016009
IL
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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