Associates For Innovative Change

LBN: Associates For Innovative Change
Associates For Innovative Change is an health care organization with primary practice located at 210 S 5Th St Ste 103 , St Charles IL 60174-2700. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Associates For Innovative Change can be contacted via phone (224) 678-9033, or through Juzwin, Kathryn R via phone (224) 678-9033.

Contact Information

Primary practice address
210 S 5Th St Ste 103 St Charles IL 60174-2700
Phone: (224) 678-9033
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Juzwin, Kathryn R PSYD
Phone: (224) 678-9033

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois

Profile Details

NPI number 1205358579
LBN Legal business name Associates For Innovative Change
DBA Doing business as
Authorized official Juzwin, Kathryn R PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2017
Last updated Jun 16th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1205358579 NPPES
Illinois Other 1518158948 CLINICAL PSYCHOLOGIST

Popular Providers