| NPI | 1720430606 |
|---|---|
| Other Name | LSSI CILA |
| Entity Type | Organization |
| Authorized Contact | GERALD NOONAN Chief Financial Officer 847-635-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IL 199200169C) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 163W00000X Registered Nurse | |
| 164W00000X Licensed Practical Nurse | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-28 |