State Of Illinois in Chicago - Residential Treatment Facility, Physical Disabilities
State Of Illinois - NPI 1609890235
State Of Illinois is a Residential Treatment Facility, Physical Disabilities in Chicago, Illinois. State Of Illinois practices all healthcare services and medical treatments related to Residential Treatment Facility, Physical Disabilities. The NPI Number for State Of Illinois is 1609890235. The last update date is 2020-08-22.
State Of Illinois's current location address is 2424w.charleston, Chicago, Illinois. You can contact this provider via phone number 7732768863. The mailing address for State Of Illinois is 2424w.charleston, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Illinois |
|---|---|
| Address | 2424w.charleston, Chicago, Illinois |
| Phone Number | 7732768863 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CASEMANAGE |
|---|---|
| Authorized Official Name | Greenwood Chris |
| Telephone Number | 3126663494 |
NPI Number Detail
| NPI Number | 1609890235 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2424w.charleston |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60647 |
| Phone Number | 7732768863 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Physical Disabilities |
|---|---|
| Taxonomy | 320700000X |
|
Definition: 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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What is the unique 10-digit identification code assigned to State Of Illinois by the Centers for Medicare & Medicaid Services?
The State Of Illinois has been issued the NPI (National Provider Identifier) 1609890235, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where State Of Illinois's facilities are situated?
The facilities of State Of Illinois are physically located at the following address: 2424W.Charleston, Chicago, IL, 60647.
What is the State Of Illinois's area of specialization and corresponding taxonomy classification?
The State Of Illinois's specialty field is Residential Treatment Facility, Physical Disabilities, and it falls under the taxonomy code 320700000X, which categorizes healthcare providers based on their specialties.
When did the State Of Illinois receive its 1609890235?
The State Of Illinois was issued its 1609890235 on 2006-07-27, which is the date when the organization was assigned this unique identifier.
When was the information related to State Of Illinois most recently updated or refreshed?
The details pertaining to the State Of Illinois, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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