Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Mary of Providence Developmental Training Program

Organization Developmentally Disabled Services Day Training Agency · NPI 1609224328

St Mary of Providence Developmental Training Program is a Developmentally Disabled Services Day Training Agency in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016

Practice location Address checks out

4200 N Austin Ave
Chicago, IL 60634-1615
Phone: (773) 545-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmentally Disabled Services Day Training Agency (primary) Taxonomy 251C00000X · Licence 36217748 (IL)

Record details

NPI number1609224328
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Mary of Providence
Authorized official Charleen Badiola — Director · (773) 545-8300
NPI enumeratedJune 3, 2016
Last updated in NPPESJune 3, 2016
Mailing address4200 N Austin Ave, Chicago, IL 60634-1615

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