Whalio Doctors

NPI 1477824480

Kt Care LLC

Organisation Mental Illness Intermediate Care Facility Bourbonnais, IL

Practice location

Address
100 Belle Aire Ave, Bourbonnais, IL 60914-2006
Phone
(815) 939-0910
Fax
(815) 939-0973
Mailing address
1s443 Summit Ave, Oakbrook Terrace, IL 60181-3989

Authorised official

Name
Jamie Nickle
Title
Director
Phone
(630) 501-0996

Registered specialties

Mental Illness Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 310500000X

Registry record

NPI
1477824480
Entity type
Organization
NPI issued
23 Jan 2012
Record last updated
27 Jan 2017

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.