NPI 1043667900

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Organisation Intellectual Disabilities Intermediate Care Facility Chicago, IL

Practice location

Address: 6300 N Ridge Ave, Chicago, IL 60660-1017
Phone: (773) 273-4191

Authorised official

Name: Steve Schueth
Title: Controller
Phone: (773) 273-4191

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 0052464 (IL)

Other Intermediate Care Facility, Intellectual Disabilities providers in Illinois →

Registry record

NPI: 1043667900
Entity type: Organization
NPI issued: 20 May 2016
Record last updated: 20 May 2016

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.