OrganizationActive
Autism Services of the North Shore, Inc.
NPI 1114159746 · Developmentally Disabled Services Day Training Agency · Evanston, IL
Provider details
- NPI number
- 1114159746
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mirela Vesa, President(847) 869-1505
- License
- 056004090 (IL)
Specialties & taxonomies
Agencies
Agencies
Agencies
Agencies
Practice location
844 Hinman Ave Apt 1
Evanston, IL 60202-5914
Phone: (847) 869-1505
Approximate (ZIP-level) locationGet directions
Mailing address
844 Hinman Ave Apt 1
Evanston, IL 60202-5914
Registry dates
- Enumerated
- 2009-08-15
- Last updated
- 2009-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.