State of Illinois Department of Human Services
State of Illinois Department of Human Services is an Adult Care Home Facility 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
10724 S Indiana AveChicago, IL 60628-3615
Phone: (312) 513-4566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X · Licence 0971 (IL) |
|---|
Record details
| NPI number | 1962954099 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Natasha Craig — Cna / Home Health Aid · (312) 513-4566 |
| NPI enumerated | October 24, 2016 |
| Last updated in NPPES | October 24, 2016 |
| Mailing address | 10724 S Indiana Ave, Chicago, IL 60628-3615 |
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