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Contact Information

ABA OF WISCONSIN, LLC
1501 DOGWOOD DR
WOODRIDGE, IL60517-4649
 Phone: 715-600-2211
 Fax: 630-395-9198
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for ABA OF WISCONSIN, LLC

NPI # 1104209923
LBN Legal business name ABA OF WISCONSIN, LLC
Authorized official ERIN RABER - (PROGRAM MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/30/2015
Last updated 01/26/2016 - About 10 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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