Organization · Type 2 NPI

Illinois Department of Human Services

Intellectual Disabilities Intermediate Care Facility · Park Forest, IL

NPI number 1053535864 Active

Practice location

114 N Orchard Dr
Park Forest, IL 60466-1200

Call (708) 283-3000 Map

Fax (708) 283-3020

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

58 other providers at this address

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About NPI 1053535864

Illinois Department of Human Services's National Provider Identifier is 1053535864, issued on Apr 12, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Park Forest, IL. The record was last updated on Dec 22, 2016.