Healthcare Provider Details

I. General information

NPI: 1659275808
Provider Name (Legal Business Name): AMAZING ADULT DAYCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 E OGDEN AVE STE 690
NAPERVILLE IL
60563-8641
US

IV. Provider business mailing address

710 E OGDEN AVE STE 690
NAPERVILLE IL
60563-8641
US

V. Phone/Fax

Practice location:
  • Phone: 773-454-7595
  • Fax:
Mailing address:
  • Phone: 773-454-7595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: RAYMOND TABELIN
Title or Position: VICE PRESIDENT
Credential:
Phone: 708-928-9626