Organization
DECOACH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRYCJA SUDOL (FOUNDER AND CHIEF EXECUTIVE OFFICER)
(773) 905-7135
Entity
Organization
Contact information
Practice address
3320 LINCOLN ST, FRANKLIN PARK, IL 60131-1514
(630) 999-6619
Mailing address
3320 LINCOLN ST, FRANKLIN PARK, IL 60131-1514
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/13/2014
Last updated
09/08/2014
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