| NPI | 1659412955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA RYBINSKI Insurance Coordinator 630-620-6616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: IL A06660001A) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: IL A06660002A) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: IL A06660003A) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: IL A06660004) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2017-03-28 |