Blue Island Citizens for Persons With Developmental Disabilities
Organization Active NPI Developmentally Disabled Services Day Training Agency · Blue Island, IL
NPI 1811019656 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1811019656
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- Legal business name
- BLUE ISLAND CITIZENS FOR PERSONS WITH DEVELOPMENTAL DISABILITIES
- Practice address
- 2155 Broadway St
Blue Island, IL 60406-3050 - Phone
- (708) 389-6578
- Fax
- (708) 389-5086
- NPI assigned
- Apr 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Ron Blouin
- Title
- Executive Director
- Phone
- (708) 389-6578
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Yes |
Addresses
Primary practice location
2155 Broadway St
Blue Island, IL 60406-3050
Mailing address
2155 Broadway St
Blue Island, IL 60406-3050
Phone (708) 389-6578
Other names
- Blue Cap
Other providers in Blue Island, IL
- Beloved Community Family Wellness Center
- Janet Lou Biscan
- Christine Pabin Bishof
- Victoria Blackmon
- Blue Island Chiropractic, PC
- Blue Island Clinic Company LLC
- Blue Island Counseling LLC
- Blue Island HBP Medical Group LLC
- Blue Island Home Care Services LLC
- Blue Island Hospital Company LLC
All providers in Blue Island, IL · Developmentally Disabled Services Day Training Agency in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.