OrganizationActive
Maryville Academy
NPI 1245118447 · Emotionally Disturbed Childrens' Residential Treatment Facility · Des Plaines, IL
Provider details
- NPI number
- 1245118447
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Frederick Smith, Administrator of Community Services(847) 390-3004
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1150 N River Rd
Des Plaines, IL 60016-1214
Phone: (847) 294-1999
Approximate (ZIP-level) locationGet directions
Mailing address
1150 N River Rd
Des Plaines, IL 60016-1214
Other names (DBA / former)
- Doing business as
- St. Dominic
Registry dates
- Enumerated
- 2025-08-25
- Last updated
- 2025-08-25
- Certified
- 2025-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.