NPI 1477919546

Disability Services of Illinois Nfp

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Chicago Heights, IL

Practice location

Address: 286 E 16th St, Chicago Heights, IL 60411-3730
Phone: (708) 753-1670
Fax: (708) 753-1679
Mailing address: PO Box 351, Matteson, IL 60443-0351

Authorised official

Name: Reuben F Goodwin
Title: Executive Director
Phone: (708) 753-1670

Registered specialties (3)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Illinois →

Case Management Agency

Agencies Taxonomy 251B00000X

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Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Illinois →

Registry record

NPI: 1477919546
Entity type: Organization
NPI issued: 5 Jan 2016
Record last updated: 5 Jan 2016

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.