United Developmental Services

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

UNITED DEVELOPMENTAL SERVICES

Practice address

2405 Eastgate Industrial Pkwy
Kankakee, IL 60901-2856

Phone

(815) 939-4070

Fax

(815) 939-6163

NPI assigned

May 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brent Pollok

Title

Executive Director

Phone

(815) 939-4070

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407806524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 EASTGATE INDUSTRIAL PKWY",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012856",
            "telephone_number": "815-939-4070",
            "fax_number": "815-939-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 EASTGATE INDUSTRIAL PKWY",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012856",
            "telephone_number": "815-939-4070",
            "fax_number": "815-939-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED DEVELOPMENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLLOK",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "815-939-4070"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Developmentally Disabled Services Day Training Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.