NPI 1497783872

Clayton Residential Homes INC

Organisation Mental Illness Intermediate Care Facility Chicago, IL

Practice location

Address: 2026 N Clark St, Chicago, IL 60614-4764
Phone: (773) 549-1840
Fax: (773) 549-2036
Mailing address: 465 Central Ave Suite 100, Northfield, IL 60093-3045

Authorised official

Name: Richard Dean Duros
Title: Cfo Coo
Phone: (847) 441-8200

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence 0016634 (IL)

Other Intermediate Care Facility, Mental Illness providers in Illinois →

Registry record

NPI: 1497783872
Entity type: Organization
NPI issued: 28 Jun 2006
Record last updated: 26 Jul 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.