Provider Demographics
NPI:1063880623
Name:A PLUS AUTISM SOLUTIONS
Entity type:Organization
Organization Name:A PLUS AUTISM SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:FROEHLICH
Authorized Official - Last Name:TRACY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP, QMHP
Authorized Official - Phone:847-530-1444
Mailing Address - Street 1:1256 W LEXINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-4110
Mailing Address - Country:US
Mailing Address - Phone:847-530-1444
Mailing Address - Fax:
Practice Address - Street 1:1212 W FLOURNOY ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-3327
Practice Address - Country:US
Practice Address - Phone:847-530-1444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-11
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL201500009C320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities