WILSON CARE INC. NPI 1962407361

NPI Information

  • NPI: 1962407361
  • Provider Name: WILSON CARE, INC.
  • Classification: Intermediate Care Facility, Mental Illness - 310500000X
  • Entity Type: Organization
  • CLIA Number: 14D0666764
  • Address: 4544 N HAZEL ST
    CHICAGO, IL
    ZIP 60640
  • Phone: (773) 561-7241

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NPI Details

WILSON CARE, INC. is an intermediate care facility mental illness in Chicago, IL. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. WILSON CARE, INC. NPI is 1962407361. The provider is registered as an organization entity type.

The provider's business location address is:

4544 N HAZEL ST
CHICAGO, IL
ZIP 60640-716
Phone: (773) 561-7241
Fax: (773) 728-2606

The provider's authorized official is Thomas Winter .
The authorized official title is Treasurer and has the following contact phone number (847) 674-5200.

The CLIA number assigned to this NPI record is 14D0666764 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2005 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
1310500000XIntermediate Care Facility, Mental Illness0029975ILLINOISYes

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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