State of Illinois
State of Illinois is a Physical Disabilities Residential Treatment Facility in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
2424W.CHARLESTONChicago, IL 60647
Phone: (773) 276-8863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Disabilities Residential Treatment Facility (primary) | Taxonomy 320700000X (IL) |
|---|
Record details
| NPI number | 1609890235 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Chris Greenwood — Casemanager · (312) 666-3494 |
| Other names | Erie Family Health Center |
| NPI enumerated | July 27, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2424w.Charleston, Chicago, IL 60647 |
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