ST. MARY OF PROVIDENCE

Intellectual Disabilities Intermediate Care Facility

NPI: 1588842470Organization

Specialties, Licenses & Credentials

Intellectual Disabilities Intermediate Care FacilityPrimary

Intermediate Care Facility, Intellectual Disabilities

Code: 315P00000X

0033761(IL)

Contact & Hours

Address: 4200 N AUSTIN AVE
CHICAGO, IL 60634
Phone: (773) 545-8300

Location

Practice Location

4200 N AUSTIN AVE, CHICAGO, IL

Quick Facts

NPI: 1588842470
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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