Organization · Type 2 NPI

State of Illinois

Physical Disabilities Residential Treatment Facility · Chicago, IL

NPI number 1609890235 Active

Practice location

2424W.CHARLESTON
Chicago, IL 60647

Call (773) 276-8863 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Disabilities Residential Treatment Facility Primary 320700000XNone listed

Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

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About NPI 1609890235

State of Illinois's National Provider Identifier is 1609890235, issued on Jul 27, 2006. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Chicago, IL. The record was last updated on Aug 22, 2020.