NPI 1609890235

State of Illinois

Organisation Physical Disabilities Residential Treatment Facility Chicago, IL

Practice location

Address: 2424w.Charleston, Chicago, IL 60647
Phone: (773) 276-8863

Authorised official

Name: Chris Greenwood
Title: Casemanager
Phone: (312) 666-3494

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X

Other Residential Treatment Facility, Physical Disabilities providers in Illinois →

Registry record

NPI: 1609890235
Entity type: Organization
NPI issued: 27 Jul 2006
Record last updated: 22 Aug 2020

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.