Provider Demographics
NPI:1770775934
Name:UNIQUE OUTCOMES, INC
Entity type:Organization
Organization Name:UNIQUE OUTCOMES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:DYE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:8155-355-3596
Mailing Address - Street 1:23819 W MILL ST
Mailing Address - Street 2:SUITE 9
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-3457
Mailing Address - Country:US
Mailing Address - Phone:815-355-3596
Mailing Address - Fax:815-729-3520
Practice Address - Street 1:23819 W MILL ST
Practice Address - Street 2:SUITE 9
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-3457
Practice Address - Country:US
Practice Address - Phone:815-355-3596
Practice Address - Fax:815-729-3520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health