OrganizationActive
Allendale Association
NPI 1548744972 · Emotionally Disturbed Childrens' Residential Treatment Facility · Lake Villa, IL
Provider details
- NPI number
- 1548744972
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Christopher Schrantz, Chief Financial Officer(847) 245-6214
Specialties & taxonomies
Residential Treatment Facilities
- Child & Adolescent Psychiatry Physician2084P0804X
Allopathic & Osteopathic Physicians
Practice location
600 W Grand Ave
Lake Villa, IL 60046-8034
Phone: (847) 356-2351
Fax: (847) 356-2393
Approximate (ZIP-level) locationGet directions
Mailing address
600 W Grand Ave
Lake Villa, IL 60046-8034
Registry dates
- Enumerated
- 2018-09-21
- Last updated
- 2021-05-03
- Certified
- 2021-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.