Illinois Department of Human Services
NPI #1053535864 in Park Forest, Illinois
Provider Information
- NPI Number
- 1053535864
- Entity Type
- Organization
- Organization Name
- Illinois Department of Human Services
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Apr 12, 2007
- Last Updated
- Dec 22, 2016
Practice Location
- Address
- 114 N ORCHARD DR
- City
- Park Forest
- State
- Illinois
- ZIP Code
- 60466-1200
- Phone
- (708) 283-3000
Authorized Official
- Name
- DEBRA MUHLSTADT
- Title
- FISCAL ADMINISTRATOR, SODC OPERATIO
- Phone
- (815) 288-8335
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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