Illinois Department Of Human Services in Kankakee - Intermediate Care Facility, Intellectual Disabilities
Illinois Department Of Human Services - NPI 1821136821
Illinois Department Of Human Services is a Intermediate Care Facility, Intellectual Disabilities in Kankakee, Illinois. Illinois Department Of Human Services practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Illinois Department Of Human Services is 1821136821. The last update date is 2016-12-22.
Illinois Department Of Human Services's current location address is 100 E Jeffery St, Kankakee, Illinois. You can contact this provider via phone number 8159398201 and fax number 8159398266. The mailing address for Illinois Department Of Human Services is 100 E Jeffery St, Kankakee, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Illinois Department Of Human Services |
|---|---|
| Address | 100 E Jeffery St, Kankakee, Illinois |
| Phone Number | 8159398201 |
| Fax Number | 8159398266 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | FISCAL ADM |
|---|---|
| Authorized Official Name | Muhlstadt Debra |
| Telephone Number | 8152888335 |
NPI Number Detail
| NPI Number | 1821136821 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2016-12-22 |
Provider Mailing Address Detail
| Address | 100 E Jeffery St |
|---|---|
| City | Kankakee |
| State | Illinois (IL) |
| Post Code | 609015018 |
| Phone Number | 8159398201 |
| Fax Number | 8159398266 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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What is the unique provider identifier assigned to Illinois Department Of Human Services?
The Illinois Department Of Human Services has been issued the NPI (National Provider Identifier) 1821136821 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Illinois Department Of Human Services is geographically located?
The Illinois Department Of Human Services is physically situated at the following location: 100 E Jeffery St, Kankakee, IL, 609015018.
What is Illinois Department Of Human Services's specialized field of practice, and what is the corresponding taxonomy classification code?
The Illinois Department Of Human Services's area of specialization is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 315P00000X.
On what date did the Illinois Department Of Human Services receive the assignment of its 1821136821 from the Centers for Medicare & Medicaid Services?
The Illinois Department Of Human Services was issued its 1821136821 by the Centers for Medicare & Medicaid Services on 2007-02-02.
When was the information pertaining to Illinois Department Of Human Services most recently updated or revised?
The details related to Illinois Department Of Human Services, including its address, specialty, and other relevant information, were last updated or revised on 2016-12-22.
NPI Number: 1235130048
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