NPI 1912394354

Rehab Care

Organisation Physical Disabilities Residential Treatment Facility Western Springs, IL

Practice location

Address: 5112 Johnson Ave, Western Springs, IL 60558-1913
Phone: (708) 772-8005

Authorised official

Name: Stacy Falls
Title: Speech-Language Pathologist
Phone: (708) 772-8005

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 146005881 (IL)

Other Residential Treatment Facility, Physical Disabilities providers in Illinois →

Registry record

NPI: 1912394354
Entity type: Organization
NPI issued: 23 Apr 2015
Record last updated: 23 Apr 2015

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.