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Illinois Department Of Human Services
Intellectual Disabilities Intermediate Care Facility in Park Forest, Illinois
NPI 1053535864

Illinois Department Of Human Services is a Intellectual Disabilities Intermediate Care Facility based in Park Forest, IL. Illinois Department Of Human Services practices in Park Forest, IL. The NPI Number for Illinois Department Of Human Services is 1053535864 and holds a License No. (Illinois).

The current practice location address for Illinois Department Of Human Services is 114 N Orchard Dr, Park Forest, IL and can be reached out via phone at 708-283-3000 and via fax at 708-283-3020.

Location: 114 N Orchard Dr, Park Forest, IL, 60466-1200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053535864
Provider Name
Illinois Department Of Human Services
Credential
Provider Entity Type
Organization
Address
114 N Orchard Dr, Park Forest, IL, 60466-1200
Phone Number
708-283-3000
Fax Number
708-283-3020
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000950111001 05 IL
institution
Provider Business Practice Location Address Details
Address
114 N Orchard Dr
City
Park Forest
State
Illinois
Zip
60466-1200
Phone Number
708-283-3000
Fax Number
708-283-3020
person
Provider Business Mailing Address Details
Address
114 N Orchard Dr
City
Park Forest
State
Illinois
Zip
60466-1200
Phone Number
708-283-3000
Fax Number
708-283-3020
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
(Illinois)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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