Pioneer Concepts INC

NPI #1710150354 in Flossmoor, Illinois

Provider Information

NPI Number
1710150354
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 3, 2008
Last Updated
Apr 20, 2008

Practice Location

Address
3951 W 190TH STREET
ZIP Code
60422-1023
Phone
(708) 922-1373

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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