Lester And Rosalie Anixter Center in Chicago - Community Based Residential Treatment Facility, Mental Illness

Lester And Rosalie Anixter Center - NPI 1699989236

Lester And Rosalie Anixter Center is a Community Based Residential Treatment Facility, Mental Illness in Chicago, Illinois. Lester And Rosalie Anixter Center practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Lester And Rosalie Anixter Center is 1699989236. The last update date is 2016-01-12.

Lester And Rosalie Anixter Center's current location address is 1401 W Chase Ave, Chicago, Illinois. You can contact this provider via phone number 8476753200 and fax number 8476753274. The mailing address for Lester And Rosalie Anixter Center is 1401 W Chase Ave, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lester And Rosalie Anixter Center
Address 1401 W Chase Ave, Chicago, Illinois
Phone Number 8476753200
Fax Number 8476753274
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SENIOR DIR
Authorized Official Name Desmond Mary
Telephone Number 7737611501

NPI Number Detail

NPI Number 1699989236
Provider Enumeration Date 2007-05-10
Last Updated Date 2016-01-12

Provider Mailing Address Detail

Address 1401 W Chase Ave
City Chicago
State Illinois (IL)
Post Code 606262108
Phone Number 8476753200
Fax Number 8476753274

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Mental Illness
Taxonomy 320800000X
Licence No 4006
Definition:
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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FAQs about Lester And Rosalie Anixter Center

What is the unique identification code assigned to Lester And Rosalie Anixter Center by the Centers for Medicare & Medicaid Services?

The Lester And Rosalie Anixter Center has been issued the NPI (National Provider Identifier) 1699989236. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Lester And Rosalie Anixter Center is geographically located?

The Lester And Rosalie Anixter Center is physically situated at the following location: 1401 W Chase Ave, Chicago, IL, 606262108.

What is Lester And Rosalie Anixter Center's specialized field of practice, and what is the corresponding taxonomy classification code?

The Lester And Rosalie Anixter Center's area of specialization is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this field of practice is 320800000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1699989236 to Lester And Rosalie Anixter Center?

The Centers for Medicare & Medicaid Services assigned the 1699989236 to Lester And Rosalie Anixter Center on 2007-05-10.

When was the Lester And Rosalie Anixter Center's information last updated?

The Lester And Rosalie Anixter Center's information was last updated on 2016-01-12.

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