Organization
CENTER ON DEAFNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONITA SIMON (EXECUTIVE DIRECTOR)
(847) 559-0110
Entity
Organization
Contact information
Practice address
3444 DUNDEE RD, NORTHBROOK, IL 60062-2201
(847) 559-0110
Mailing address
3444 DUNDEE RD, NORTHBROOK, IL 60062-2201
(847) 559-0110
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
199100076
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7094638
—
IL
Enumeration date
04/19/2016
Last updated
04/19/2016
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