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LESTER AND ROSALIE ANIXTER CENTER NPI 1134576788


NPI Information

NPI: 1134576788
Provider Name: LESTER AND ROSALIE ANIXTER CENTER

Doing Business As: ANIXTER CENTER

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
6610 N CLARK ST
CHICAGO, IL
ZIP 60626
Phone: (773) 761-1501
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LESTER AND ROSALIE ANIXTER CENTER is a community based residential treatment facility, intellectual and/or developmental disabilities in Chicago, IL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. LESTER AND ROSALIE ANIXTER CENTER NPI is 1134576788. The provider is registered as an organization entity type.
The provider Is Doing Business As Anixter Center.

The provider's business location address is:

6610 N CLARK ST
CHICAGO, IL
ZIP 60626-062
Phone: (773) 761-1501
Fax: (773) 977-1240

The provider's authorized official is Mary Desmond .
The authorized official title is Senior Director Of Finance and has the following contact phone number (773) 761-1501.

The enumeration date for this NPI number is 5/24/2016 and was last updated on 5/31/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementNo
2251C00000XDay Training, Developmentally Disabled ServicesNo
3251S00000XCommunity/Behavioral HealthNo
4320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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