Illinois Department Of Human Services in Park Forest - Intermediate Care Facility, Intellectual Disabilities
Illinois Department Of Human Services - NPI 1053535864
Illinois Department Of Human Services is a Intermediate Care Facility, Intellectual Disabilities in Park Forest, 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 1053535864. The last update date is 2016-12-22.
Illinois Department Of Human Services's current location address is 114 N Orchard Dr, Park Forest, Illinois. You can contact this provider via phone number 7082833000 and fax number 7082833020. The mailing address for Illinois Department Of Human Services is 114 N Orchard Dr, Park Forest, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Illinois Department Of Human Services |
|---|---|
| Address | 114 N Orchard Dr, Park Forest, Illinois |
| Phone Number | 7082833000 |
| Fax Number | 7082833020 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | FISCAL ADM |
|---|---|
| Authorized Official Name | Muhlstadt Debra |
| Telephone Number | 8152888335 |
NPI Number Detail
| NPI Number | 1053535864 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2016-12-22 |
Provider Mailing Address Detail
| Address | 114 N Orchard Dr |
|---|---|
| City | Park Forest |
| State | Illinois (IL) |
| Post Code | 604661200 |
| Phone Number | 7082833000 |
| Fax Number | 7082833020 |
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 950111001 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Illinois Department Of Human Services by the Centers for Medicare & Medicaid Services?
The Illinois Department Of Human Services has been issued the NPI (National Provider Identifier) 1053535864, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Illinois Department Of Human Services?
The Illinois Department Of Human Services is physically situated at 114 N Orchard Dr, in the city of Park Forest, state of IL, with the postal code 604661200.
What is Illinois Department Of Human Services's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Illinois Department Of Human Services is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that classifies this field of practice is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053535864 to Illinois Department Of Human Services?
The Centers for Medicare & Medicaid Services assigned the 1053535864 to Illinois Department Of Human Services on 2007-04-12.
When was the information regarding Illinois Department Of Human Services, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Illinois Department Of Human Services, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-12-22.