NPI | 1902994650 |
---|---|
Doing Business As | MADO HEALTHCARE - DOUGLAS PARK |
Entity Type | Organization |
Authorized Contact | PETER J O'BRIEN President 312-787-9400 |
Organization Subpart ? | No |
Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: IL 0013334) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2019-04-15 |