Organization
THE ILLINOIS CENTER FOR AUTISM
Active
Organization
THE ILLINOIS CENTER FOR AUTISM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN SZEKELY (EXECUTIVE DIRECTOR)
(618) 398-7500
Entity
Organization
Contact information
Practice address
548 S RUBY LN, FAIRVIEW HEIGHTS, IL 62208-2614
(618) 398-7500
(618) 394-9869
Mailing address
548 S RUBY LN, FAIRVIEW HEIGHTS, IL 62208-2614
(618) 398-7500
(618) 394-9869
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
221700000X
Art Therapist
—
—
225A00000X
Music Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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