NPI 1871039669

Mount St Joseph

Organisation Intellectual Disabilities Intermediate Care Facility Lake Zurich, IL

Practice location

Address: 24955 N US Highway 12, Lake Zurich, IL 60047-8919
Phone: (847) 438-5050
Fax: (847) 438-6313

Authorised official

Name: Rae Ewald
Title: Resident Benefits
Phone: (847) 438-5050

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 0005520 (IL)

Other Intermediate Care Facility, Intellectual Disabilities providers in Illinois →

Registry record

NPI: 1871039669
Entity type: Organization
NPI issued: 17 Jan 2017
Record last updated: 14 May 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.