NPI 1518238500

Bt Bourbonnais Care, LLC

Organisation Mental Illness Intermediate Care Facility Bourbonnais, IL

Practice location

Address: 133 Mohawk Dr, Bourbonnais, IL 60914-1349
Phone: (815) 937-4790
Fax: (815) 937-0432
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

Other Intermediate Care Facility, Mental Illness providers in Illinois →

Registry record

NPI: 1518238500
Entity type: Organization
NPI issued: 23 Jan 2012
Record last updated: 31 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.