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Developmental Specialists Of Southeastern Il, Inc.
Developmental Disabilities Clinic/Center in Olney, Illinois
NPI 1073628350

Developmental Specialists Of Southeastern Il, Inc. is a Developmental Disabilities Clinic/Center based in Olney, IL and is specialized in Developmental Disabilities. Developmental Specialists Of Southeastern Il, Inc. practices in Olney, IL. The NPI Number for Developmental Specialists Of Southeastern Il, Inc. is 1073628350 and holds a License No. (Illinois).

The current practice location address for Developmental Specialists Of Southeastern Il, Inc. is 905 E Main St, Olney, IL and can be reached out via phone at 618-393-7732 and via fax at 618-395-3123.

Location: 905 E Main St, Olney, IL, 62450-2623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073628350
Provider Name
Developmental Specialists Of Southeastern Il, Inc.
Credential
Provider Entity Type
Organization
Address
905 E Main St, Olney, IL, 62450-2623
Phone Number
618-393-7732
Fax Number
618-395-3123
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8030288 01 IL BLUECROSS/BLUE SHIELD IL
institution
Provider Business Practice Location Address Details
Address
905 E Main St
City
Olney
State
Illinois
Zip
62450-2623
Phone Number
618-393-7732
Fax Number
618-395-3123
person
Provider Business Mailing Address Details
Address
905 E Main St
City
Olney
State
Illinois
Zip
62450-2623
Phone Number
618-393-7732
Fax Number
618-395-3123
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
(Illinois)
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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