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ILLINOIS VETERANS HOME AT CHICAGO NPI 1891367330


NPI Information

NPI: 1891367330
Provider Name: ILLINOIS VETERANS HOME AT CHICAGO
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization

CLIA Number: 14D2225873

Address:
4250 N OAK PARK AVE
CHICAGO, IL
ZIP 60634
Phone: (773) 794-3763
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ILLINOIS VETERANS HOME AT CHICAGO 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. ILLINOIS VETERANS HOME AT CHICAGO NPI is 1891367330. The provider is registered as an organization entity type.

The provider's business location address is:

4250 N OAK PARK AVE
CHICAGO, IL
ZIP 60634-417
Phone: (773) 794-3763

The provider's authorized official is T'kira Siler-wilkerson .
The authorized official title is Administrator and has the following contact phone number (773) 628-5905.

The CLIA number assigned to this NPI record is 14D2225873 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2021 and was last updated on 7/15/2021.


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
1320700000XResidential Treatment Facility, Physical 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: 11/14/2023

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