Provider Demographics
NPI:1427870120
Name:ASSOCIATION FOR INDIVIDUAL DEVELOPMENT
Entity type:Organization
Organization Name:ASSOCIATION FOR INDIVIDUAL DEVELOPMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-966-4001
Mailing Address - Street 1:309 NEW INDIAN TRAIL COURT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506
Mailing Address - Country:US
Mailing Address - Phone:630-966-4000
Mailing Address - Fax:630-844-2065
Practice Address - Street 1:695 S. STATE ST.
Practice Address - Street 2:ROOMS 102, 103 & 106
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-7673
Practice Address - Country:US
Practice Address - Phone:847-931-6280
Practice Address - Fax:224-769-7210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)