Provider Demographics
NPI:1285077537
Name:AUTISM CARE SOLUTIONS
Entity type:Organization
Organization Name:AUTISM CARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF COMPANY
Authorized Official - Prefix:MS
Authorized Official - First Name:PADMINI
Authorized Official - Middle Name:
Authorized Official - Last Name:SRIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:639-416-0625
Mailing Address - Street 1:3707 MISTFLOWER LN
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-8185
Mailing Address - Country:US
Mailing Address - Phone:630-416-0625
Mailing Address - Fax:
Practice Address - Street 1:3707 MISTFLOWER LN
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-8185
Practice Address - Country:US
Practice Address - Phone:630-416-0625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-16
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL411225OtherBLUE CROSS BLUE SHIELD