DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ALLENDALE ASSOCIATION

MEDICARE: ALLENDALE ASSOCIATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry Physician
2251S00000XCommunity/Behavioral Health Agency
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)007IL
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1154671030
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLENDALE ASSOCIATION
Provider Business Mailing Address
First Line : 5465 GRAND AVE
Second Line : 101
City : GURNEE
State : IL
Zip : 60031-4913
Country : US
Telephone Number : 847-244-7177
Fax Number : 847-244-9486
Provider Business Practice Location Address
First Line : 5465 GRAND AVE
Second Line : 101
City : GURNEE
State : IL
Zip : 60031-4913
Country : US
Telephone Number : 847-244-7177
Fax Number : 847-244-9486
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. CHRISTOPHER ANTHONY SCHRANTZ
Credential : CPA, JD
Telephone Number : 847-245-6214
Provider Enumeration Date : 09/18/2012
Last Update Date : 07/21/2022

Similar Medicare Providers

1699650937 — GINA MICHELE KOZAR
Practice Location Address:
5465 GRAND AVE STE 101
GURNEE, IL
60031-4913
Practice Phone: 224-303-4396
Practice Fax: 224-214-3154
1609695733 — ALYSSA FULTON
Practice Location Address:
5465 GRAND AVE STE 101
GURNEE, IL
60031-4913
Practice Phone: 224-303-4395
Practice Fax:
1700187036 — DR. RYAN BRADLEY PSYD
Practice Location Address:
5465 GRAND AVE
GURNEE, IL
60031-4913
Practice Phone: 847-356-3322
Practice Fax:
1609530229 — MRS. ASHLEY MARIE JOHNNIES MSW/LCSW
Practice Location Address:
5465 GRAND AVE STE 101
GURNEE, IL
60031-4913
Practice Phone: 414-502-6573
Practice Fax:
1013701374 — ALLEVIATING MINDS THERAPY SERVICES PLLC
Practice Location Address:
5465 GRAND AVE STE 101
GURNEE, IL
60031-4913
Practice Phone: 224-303-4395
Practice Fax: 224-302-4217
1922982735 — JENNY SILVANA RAMKUMAR
Practice Location Address:
5465 GRAND AVE STE 101
GURNEE, IL
60031-4913
Practice Phone: 224-303-4395
Practice Fax:

Directions to “ALLENDALE ASSOCIATION ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.