Organization
INDIVIDUAL ADVOCACY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BROOKS PH.D. (CEO)
(630) 759-0201
Entity
Organization
Contact information
Practice address
1289 WINDHAM PKWY, ROMEOVILLE, IL 60446-1763
(630) 759-0201
(630) 759-1005
Mailing address
1289 WINDHAM PKWY, ROMEOVILLE, IL 60446-1763
(630) 759-0201
(630) 759-1005
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
IL
251J00000X
Nursing Care Agency
—
IL
253Z00000X
In Home Supportive Care Agency
—
IL
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
IL
261QM0850X
Adult Mental Health Clinic/Center
—
IL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
IL
347C00000X
Private Vehicle
—
IL
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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