Dia Corporate of Illinois, INC

NPI #1356778823 in Mattoon, Illinois

Provider Information

NPI Number
1356778823
Entity Type
Organization
Organization Name
Dia Corporate of Illinois, INC
Primary Specialty
Clinic/Center - Developmental Disabilities
Enumeration Date
Sep 30, 2013
Last Updated
Sep 30, 2013

Practice Location

Address
1601 BROADWAY AVE
ZIP Code
61938-4096
Phone
(217) 235-0045

Authorized Official

Name
DR. ELAINE B. JETT, ED.D
Title
PRESIDENT
Phone
(217) 235-0045

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Developmental DisabilitiesDevelopmental Disabilities

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