Abc Language Clubhouse Inc
Organization Active NPI Early Intervention Provider Agency · Crown Point, IN
NPI 1922330802 · NPPES record last updated Feb 3, 2010
Key facts
- NPI
- 1922330802
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- License
- 146006464 (IL)
- Legal business name
- ABC LANGUAGE CLUBHOUSE INC
- Practice address
- 10769 Broadway
Suite 225
Crown Point, IN 46307-7310 - Phone
- (630) 340-1629
- NPI assigned
- Feb 3, 2010
- Organization subpart
- No
Authorized official
- Name
- Ms. Tonya Alcorn
- Title
- President
- Phone
- (630) 340-1629
National Provider Directory
Locations
10769 Broadway
Crown Point, IN 46307
Phone (630) 340-1629
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 146006464 | IL | Yes |
Addresses
Primary practice location
10769 Broadway
Suite 225
Crown Point, IN 46307-7310
Mailing address
10769 Broadway
Suite 225
Crown Point, IN 46307-7310
Phone (630) 340-1629
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2233168 | Other | IL | BLUE BROSS BLUE SHIELD |
Other providers in Crown Point, IN
- 219 Health Network, Inc.
- 219 Health Network, Inc.
- 219 Health Network, Inc.
- A&E Diagnostic Imaging, LLC
- Mohammed A Abbas
- Aberdeen Ventures, LTD.
- Simon George Abu-Aita
- Tamim Abulhassan
- Abundance Home Care LLC
- Omar Mostafa Abuzeid
All providers in Crown Point, IN · Early Intervention Provider Agency in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2010. 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.