NPI 1407900343
Illinois Department of Human Services
Practice location
- Address
- 4200 N Oak Park Ave, Chicago, IL 60634-1417
- Phone
- (773) 794-3733
- Fax
- (773) 794-4046
Authorised official
- Name
- Angie C Tansor
- Title
- Patient Resource Unit Rep
- Phone
- (773) 794-3733
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1407900343
- Entity type
- Organization
- NPI issued
- 22 Jan 2007
- Record last updated
- 21 Jul 2022
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.