NPI 1124987409

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Organisation Intellectual Disabilities Intermediate Care Facility Chicago, IL

Practice location

Address: 6300 N Ridge Ave, Chicago, IL 60660-1099
Phone: (773) 973-6300

Authorised official

Name: Kevin Knoll
Title: Secretary/General Counsel
Phone: (773) 273-2729

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Illinois →

Registry record

NPI: 1124987409
Entity type: Organization
NPI issued: 21 Jan 2026
Record last updated: 21 Jan 2026

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.