Organization
ALLENDALE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER ANTHONY SCHRANTZ C.P.A., J.D. (CHIEF FINANCIAL OFFICER)
(847) 245-6214
Entity
Organization
Contact information
Practice address
GRAND AVE. AND OFFIELD DR., LAKE VILLA, IL 60046-1088
(847) 356-2351
(847) 356-2393
Mailing address
600 W GRAND AVE, P.O. BOX 1088, LAKE VILLA, IL 60046-8034
(847) 356-2351
(847) 356-2393
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
001
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
001300-10
IL
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
04/11/2006
Last updated
07/21/2022
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