Individual provider · Type 1 NPI
Ricky Burnett
Assisted Living Facility · Chicago, IL
NPI number
1063240307
Active
Practice location
5228 W Monroe St
Chicago, IL 60644-4144
Mailing address
500 N Mannheim Rd Unit 5W
Hillside, IL 60162-1160
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1063240307
Ricky Burnett's National Provider Identifier is 1063240307, issued on Jul 25, 2024. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Chicago, IL. The record was last updated on Jul 25, 2024.