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INDIVIDUAL ADVOCACY GROUP NPI 1942453048


NPI Information

NPI: 1942453048
Provider Name: INDIVIDUAL ADVOCACY GROUP
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
1289 WINDHAM PKWY
ROMEOVILLE, IL
ZIP 60446
Phone: (630) 759-0201
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INDIVIDUAL ADVOCACY GROUP is a developmental disabilities clinic center in Romeoville, IL. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). INDIVIDUAL ADVOCACY GROUP NPI is 1942453048. The provider is registered as an organization entity type.

The provider's business location address is:

1289 WINDHAM PKWY
ROMEOVILLE, IL
ZIP 60446-763
Phone: (630) 759-0201
Fax: (630) 759-1005

The provider's authorized official is David Brooks .
The authorized official title is Ceo and has the following contact phone number (630) 759-0201.

The enumeration date for this NPI number is 11/3/2008 and was last updated on 11/3/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251C00000XDay Training, Developmentally Disabled ServicesILLINOISNo
2251J00000XNursing CareILLINOISNo
3253Z00000XIn Home Supportive CareILLINOISNo
4261QM0850XClinic/CenterAdult Mental HealthILLINOISNo
5320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesILLINOISNo
6347C00000XPrivate VehicleILLINOISNo
7261QD1600XClinic/CenterDevelopmental DisabilitiesILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========100MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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