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NPI 1417243288

OrganizationActive

County of Lake

NPI 1417243288 · Emotionally Disturbed Childrens' Residential Treatment Facility · Vernon Hills, IL

Provider details

NPI number: 1417243288
Entity type: Organization
Primary specialty: Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
Organization subpart: No
Authorized official: Dena Traylor, Director of Psychological Services(847) 377-3675
License: 071.006552 (IL)

Specialties & taxonomies

Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense 071.006552 (IL)
Residential Treatment Facilities

Practice location

24647 N Milwaukee Ave

Vernon Hills, IL 60061-1576

Phone: (847) 377-7920

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

215 W Water St

Waukegan, IL 60085-5616

Other names (DBA / former)

Doing business as: Nineteenth Judicial Circuit

Registry dates

Enumerated: 2011-06-21
Last updated: 2011-06-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

County of Lake — NPI 1417243288, Vernon Hills, IL | NPI Central