NPI 1033219803

Mount St Joseph

Organisation Intellectual Disabilities Intermediate Care Facility Lake Zurich, IL

Practice location

Address: 24955 N Highway 12, Lake Zurich, IL 60047
Phone: (847) 438-5050
Fax: (847) 719-1060

Authorised official

Name: Janet Kosman
Title: Administrator/Director
Phone: (847) 438-5050

Registered specialties (2)

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Illinois →

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X Licence 0005520 (IL)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Illinois →

Registry record

NPI: 1033219803
Entity type: Organization
NPI issued: 22 Sep 2006
Record last updated: 7 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.