NPI 1194752998

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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) 973-6300

Authorised official

Name: Mary Pat O'Brien
Title: Administrator
Phone: (773) 273-4169

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 0035675 (IL)

Other Intermediate Care Facility, Intellectual Disabilities providers in Illinois →

Registry record

NPI: 1194752998
Entity type: Organization
NPI issued: 27 Jun 2006
Record last updated: 22 Aug 2020

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.