NPI 1033382619

Pioneer Concepts INC

Organisation Intellectual Disabilities Intermediate Care Facility Dolton, IL

Practice location

Address: 644 East Sheridan Avenue, Dolton, IL 60419-1267
Phone: (708) 201-0990
Fax: (708) 201-7404
Mailing address: 285 South Farnham Street, Galesburg, IL 61401-5323

Authorised official

Name: Ronald J Wilson
Title: Authorized Agent
Phone: (309) 343-1550

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 43216 (IL)

Other Intermediate Care Facility, Intellectual Disabilities providers in Illinois →

Registry record

NPI: 1033382619
Entity type: Organization
NPI issued: 4 Apr 2008
Record last updated: 20 Apr 2008

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.