STATE OF ILLINOIS DEPARTMENT OF HUMAN SERVICES

CHICAGO, IL
NPI1962954099
Entity TypeOrganization
Authorized ContactNATASHA CRAIG
Cna / Home Health Aid
312-513-4566
Organization Subpart ?No
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: IL  0971)
Enumeration Date2016-10-24
Last Update Date2016-10-24
Business Address
STATE OF ILLINOIS DEPARTMENT OF HUMAN SERVICES
10724 S INDIANA AVE
CHICAGO, IL 60628-3615
Phone number: 312-513-4566
Mailing Address
STATE OF ILLINOIS DEPARTMENT OF HUMAN SERVICES
10724 S INDIANA AVE
CHICAGO, IL 60628-3615
Phone number: 312-513-4566