STATE OF ILLINOIS NPI 1609890235

NPI Information

NPI: 1609890235
Provider Name: STATE OF ILLINOIS

Other Name: ERIE FAMILY HEALTH CENTER

Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization
Address:
2424W.CHARLESTON
CHICAGO, IL
ZIP 60647
Phone: (773) 276-8863
Get Directions

STATE OF ILLINOIS is a residential treatment facility physical disabilities in Chicago, IL. The provider is 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. STATE OF ILLINOIS NPI is 1609890235. The provider is registered as an organization entity type.
The provider Other Name Is Erie Family Health Center.

The provider's business location address is:

2424W.CHARLESTON
CHICAGO, IL
ZIP 60647
Phone: (773) 276-8863

The provider's authorized official is Chris Greenwood .
The authorized official title is Casemanager and has the following contact phone number (312) 666-3494.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 8/22/2020.

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
1	320700000X	Residential Treatment Facility, Physical Disabilities			ILLINOIS	Yes

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: 11/14/2023

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