SERTOMA CENTRE INC. NPI 1306170592

NPI Information

  • NPI: 1306170592
  • Provider Name: SERTOMA CENTRE, INC.
  • Classification: Voluntary or Charitable - 251V00000X
  • Entity Type: Organization
  • Address: 4100 W 127TH ST
    ALSIP, IL
    ZIP 60803
  • Phone: (708) 371-9700

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NPI Details

SERTOMA CENTRE, INC. is a voluntary or charitable in Alsip, IL. SERTOMA CENTRE, INC. NPI is 1306170592. The provider is registered as an organization entity type.

The provider's business location address is:

4100 W 127TH ST
ALSIP, IL
ZIP 60803-925
Phone: (708) 371-9700
Fax: (708) 371-9700

The provider's authorized official is Gus Van Den Brink .
The authorized official title is Executive Director and has the following contact phone number (708) 371-9700.

The enumeration date for this NPI number is 9/22/2009 and was last updated on 9/22/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251V00000XVoluntary or CharitableYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERILLINOISIDHS
2=========MEDICAIDILLINOIS

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: 11/21/2025

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