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Mr. Charles Arthur Egner II, BS
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Lenox, Illinois
NPI 1114333259

Charles Arthur Egner II is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in New Lenox, IL. Charles Arthur Egner II practices in New Lenox, IL and has the professional credentials of BS. The NPI Number for Charles Arthur Egner II is 1114333259 and holds a License No. (Illinois).

The current practice location address for Charles Arthur Egner II is 301 Veterans Pkwy, New Lenox, IL and can be reached out via phone at 815-717-3770 and via fax at 815-717-3779.

Location: 301 Veterans Pkwy, New Lenox, IL, 60451-2899
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114333259
Provider Name
Charles Arthur Egner II
Credential
BS
Provider Entity Type
Individual
Gender
Male
Address
301 Veterans Pkwy, New Lenox, IL, 60451-2899
Phone Number
815-717-3770
Fax Number
815-717-3779
Provider Enumeration Date
07/09/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
301 Veterans Pkwy
City
New Lenox
State
Illinois
Zip
60451-2899
Phone Number
815-717-3770
Fax Number
815-717-3779
person
Provider Business Mailing Address Details
Address
301 Veterans Pkwy
City
New Lenox
State
Illinois
Zip
60451-2899
Phone Number
815-717-3770
Fax Number
815-717-3779
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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