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Kirby Johnson
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Chicago, Illinois
NPI 1386036564

Kirby Johnson is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Chicago, IL. Kirby Johnson practices in Chicago, IL. The NPI Number for Kirby Johnson is 1386036564 and holds a License No. (Illinois).

The current practice location address for Kirby Johnson is 3807 N Leavitt St Apt 2, Chicago, IL and can be reached out via phone at 309-360-6268. You can also correspond with Kirby Johnson through the mailing address at 3807 N LEAVITT ST APT 2, CHICAGO, IL - 60618-3825 (mailing address contact number: ).

Location: 3807 N Leavitt St Apt 2, Chicago, IL, 60618-3825
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386036564
Provider Name
Kirby Johnson
Credential
Provider Entity Type
Organization
Address
3807 N Leavitt St Apt 2, Chicago, IL, 60618-3825
Phone Number
309-360-6268
Fax Number
Provider Enumeration Date
02/25/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3807 N Leavitt St Apt 2
City
Chicago
State
Illinois
Zip
60618-3825
Phone Number
309-360-6268
Fax Number
person
Provider Business Mailing Address Details
Address
3807 N Leavitt St Apt 2
City
Chicago
State
Illinois
Zip
60618-3825
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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