National Provider Identifier Database

GARDEN OF PARYER YOUTH CENTER
Voluntary or Charitable


Contact Information

GARDEN OF PARYER YOUTH CENTER
657 E COURT ST
KANKAKEE, IL60901-4055
Phone: 815-933-2493
Fax: 815-933-2494
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for GARDEN OF PARYER YOUTH CENTER

NPI Number 1922383314
Legal business name
LBN
GARDEN OF PARYER YOUTH CENTER
Authorized official MICHAEL MALONEY - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 10/17/2011
Last updated 10/17/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 041-129-294
  • IL License #: 180-0007-145
  • IL License #: 180-006-235

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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