Developmental Specialists Of Southeastern Il, Inc.

LBN: Developmental Specialists Of Southeastern Il, Inc.
Developmental Specialists Of Southeastern Il, Inc. is an health care organization with primary practice located at 905 E Main St , Olney IL 62450-2623. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Developmental Specialists Of Southeastern Il, Inc. can be contacted via phone (618) 393-7732, or through Ross, Catherine via phone (618) 393-7732.

Contact Information

Primary practice address
905 E Main St Olney IL 62450-2623
Phone: (618) 393-7732
Fax: (618) 395-3123
Website:
Map and Directions
Authorized official contact:
Name: Ross, Catherine
Phone: (618) 393-7732

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X Illinois

Profile Details

NPI number 1073628350
LBN Legal business name Developmental Specialists Of Southeastern Il, Inc.
DBA Doing business as
Authorized official Ross, Catherine
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Apr 9th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073628350 NPPES
Illinois Other 8030288 BLUECROSS/BLUE SHIELD IL

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