STATE OF ILLINOIS DEPARTMENT OF HUMAN SERVICES NPI 1962954099

NPI Information

STATE OF ILLINOIS DEPARTMENT OF HUMAN SERVICES is an adult care home custodial care facility in Chicago, IL. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. STATE OF ILLINOIS DEPARTMENT OF HUMAN SERVICES NPI is 1962954099. The provider is registered as an organization entity type.

The provider's business location address is:

10724 S INDIANA AVE
CHICAGO, IL
ZIP 60628-615
Phone: (312) 513-4566

The provider's authorized official is Natasha Craig .
The authorized official title is Cna / Home Health Aid and has the following contact phone number (312) 513-4566.

The enumeration date for this NPI number is 10/24/2016 and was last updated on 10/24/2016.

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:

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