Pioneer Concepts INC

NPI #1497928618 in Sauk Village, Illinois

Provider Information

NPI Number
1497928618
Entity Type
Organization
Organization Name
Pioneer Concepts INC
Subpart
Yes (part of a larger organization)
Parent Organization
PIONEER CONCEPTS INC
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Apr 9, 2008
Last Updated
Apr 20, 2008

Practice Location

Address
1641 CAROLE LANE
ZIP Code
60411-4990
Phone
(708) 758-8756

Authorized Official

Name
MR. RONALD J WILSON
Title
AUTHORIZED AGENT
Phone
(309) 343-1550

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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