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General NPI Number Information
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NPI Number | 1497661383
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Entity Type | Organization
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Legal Business Name | ASSOCIATION FOR INDIVIDUAL DEVELOPMENT
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 516 WASHINGTON ST
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City | WEST DUNDEE
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State | IL
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Zip | 60118-1245
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Country | US
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Telephone | 630-720-2124
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Fax | 224-769-7210
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Provider Business Mailing Address
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Address Line | 309 NEW INDIAN TRAIL CT
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City | AURORA
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State | IL
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Zip | 60506-2411
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Country | US
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Telephone | 630-966-4000
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Fax | 630-844-2065
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Authorized Official
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Title or Position | BILLING ADMINISTRATOR
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Name | KELLY HOELSCHER
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Credential |
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Telephone | 630-966-4041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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