National Provider Identifier Database

THE ILLINOIS CENTER FOR AUTISM
Voluntary or Charitable


Contact Information

THE ILLINOIS CENTER FOR AUTISM
548 S RUBY LN
FAIRVIEW HEIGHTS, IL62208-2614
Phone: 618-398-7500
Fax: 618-394-9869
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X
Art Therapist 221700000X
Behavior Analyst 103K00000X
Case Management 251B00000X
Community/Behavioral Health 251S00000X
Day Training, Developmentally Disabled Services 251C00000X
Music Therapist 225A00000X
Speech-Language Pathologist 235Z00000X

* Indicates primary specialty

NPI Profile & details for THE ILLINOIS CENTER FOR AUTISM

NPI Number 1922378991
Legal business name
LBN
THE ILLINOIS CENTER FOR AUTISM
Authorized official SUSAN SZEKELY - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 01/09/2012
Last updated 01/09/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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