Shoreline Behavioral Of Illinois, Professional LLC
Behavior Analyst in Chicago, IL. Organization (NPI-2).
NPI number1063368280
StatusActive
Last updated in NPPESMar 9, 2026
Details
- NPI
- 1063368280
- Entity type
- Organization (NPI-2)
- Legal business name
- Shoreline Behavioral Of Illinois, Professional LLC
- Organization subpart
- No
- Enumeration date
- Mar 9, 2026
- Certification date
- Mar 9, 2026
- Last updated
- Mar 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
2942 W Augusta Blvd Apt 3Chicago, IL 60622-2786
Phone 561-537-6153 · Fax 772-264-8329
Mailing address
2942 W Augusta Blvd Apt 3Chicago, IL 60622-2786
Phone 561-537-6153 · Fax 772-264-8329
Authorized official
Nadine Dabbs
Owner
5615376153
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