NPI 1386920221

Ibukun Comprehensive Community Services, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Chicago, IL

Practice location

Address: 6752 S Perry Ave, Chicago, IL 60621-3714
Phone: (773) 994-6125
Fax: (773) 994-6135

Authorised official

Name: Christian Akiwowo
Title: Executive Director
Phone: (773) 994-6125

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 180004168 (IL)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Illinois →

Registry record

NPI: 1386920221
Entity type: Organization
NPI issued: 24 Oct 2011
Record last updated: 24 Oct 2011

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.