NPI 1063715878
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Practice location
- Address
- 6300 N Ridge Ave, Chicago, IL 60660-1017
- Phone
- (773) 973-6300
Authorised official
- Name
- Chris Hegg
- Title
- Administrator
- Phone
- (773) 273-3575
Registered specialties
Intellectual Disabilities Intermediate Care Facility
Primary
Registry record
- NPI
- 1063715878
- Entity type
- Organization
- NPI issued
- 16 Dec 2010
- Record last updated
- 16 Dec 2010
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.