Provider Demographics
NPI:1144413220
Name:CONSULTANTS CONSORTIUM
Entity Type:Organization
Organization Name:CONSULTANTS CONSORTIUM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ETHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:STRANDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-653-9337
Mailing Address - Street 1:1547 CASTLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-7527
Mailing Address - Country:US
Mailing Address - Phone:630-653-9337
Mailing Address - Fax:630-653-9365
Practice Address - Street 1:1547 CASTLEWOOD DR
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-7527
Practice Address - Country:US
Practice Address - Phone:630-653-9337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL39330165801Medicaid
IL201050Medicare PIN