THE DUBOIS DOUGLAS CENTRES NPI 1386028835

NPI Information

  • NPI: 1386028835
  • Provider Name: THE DUBOIS DOUGLAS CENTRES
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 4747 LINCOLN MALL DR
    SUITE 301
    MATTESON, IL
    ZIP 60443
  • Phone: (708) 283-0886

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NPI Details

THE DUBOIS DOUGLAS CENTRES is a community based residential treatment facility, intellectual and/or developmental disabilities in Matteson, 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. THE DUBOIS DOUGLAS CENTRES NPI is 1386028835. The provider is registered as an organization entity type.

The provider's business location address is:

4747 LINCOLN MALL DR
SUITE 301
MATTESON, IL
ZIP 60443-811
Phone: (708) 283-0886
Fax: (708) 283-0895

The provider's authorized official is Marcel Martins-mensah .
The authorized official title is President and has the following contact phone number (708) 283-0886.

The enumeration date for this NPI number is 7/15/2015 and was last updated on 7/15/2015.

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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities199500004CILLINOISYes

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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