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Maria Grosu
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Skokie, Illinois
NPI 1548623861

Maria Grosu is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Skokie, IL. Maria Grosu practices in Skokie, IL. The NPI Number for Maria Grosu is 1548623861 and holds a License No. 200000006C (Illinois).

The current practice location address for Maria Grosu is 5115 Church St, Skokie, IL and can be reached out via phone at 847-677-4933 and via fax at 847-679-3973.

Location: 5115 Church St, Skokie, IL, 60077-1201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548623861
Provider Name
Maria Grosu
Credential
Provider Entity Type
Individual
Gender
Female
Address
5115 Church St, Skokie, IL, 60077-1201
Phone Number
847-677-4933
Fax Number
847-679-3973
Provider Enumeration Date
04/04/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7094638 01 IL BILLING AGENCY
3000006 01 IL MCO PLAN
institution
Provider Business Practice Location Address Details
Address
5115 Church St
City
Skokie
State
Illinois
Zip
60077-1201
Phone Number
847-677-4933
Fax Number
847-679-3973
person
Provider Business Mailing Address Details
Address
5115 Church St
City
Skokie
State
Illinois
Zip
60077-1201
Phone Number
847-677-4933
Fax Number
847-679-3973
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.
200000006C (Illinois)
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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