Provider Demographics
NPI:1679756258
Name:LINCOLNWAY PERSONAL RESOURCE CENTER
Entity Type:Organization
Organization Name:LINCOLNWAY PERSONAL RESOURCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARLO
Authorized Official - Middle Name:
Authorized Official - Last Name:COMPAAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:815-469-8876
Mailing Address - Street 1:10217 W LINCOLN HWY
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-1279
Mailing Address - Country:US
Mailing Address - Phone:815-469-8876
Mailing Address - Fax:815-469-4007
Practice Address - Street 1:10217 W LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-1279
Practice Address - Country:US
Practice Address - Phone:815-469-8876
Practice Address - Fax:815-469-4007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable