NPI 1477824480
Kt Care LLC
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
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.