1497661383 NPI number — ASSOCIATION FOR INDIVIDUAL DEVELOPMENT

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497661383 NPI number — ASSOCIATION FOR INDIVIDUAL DEVELOPMENT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ASSOCIATION FOR INDIVIDUAL DEVELOPMENT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497661383
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/20/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
309 NEW INDIAN TRAIL CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AURORA
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60506-2411
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
630-966-4000
Provider Business Mailing Address Fax Number:
630-844-2065

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
516 WASHINGTON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WEST DUNDEE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60118-1245
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-720-2124
Provider Business Practice Location Address Fax Number:
224-769-7210
Provider Enumeration Date:
08/20/2026

Additional Information

Authorized Official

Authorized Official Last Name:
HOELSCHER
Authorized Official First Name:
KELLY
Authorized Official Middle Name:
Authorized Official Title or Position:
BILLING ADMINISTRATOR
Authorized Official Telephone Number:
630-966-4041

Provider Taxonomy Codes

  • Taxonomy code: 261QM0801X , registered in the state of NULL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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