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Corrine Dority
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Chicago, Illinois
NPI 1811582737

Corrine Dority is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Chicago, IL. Corrine Dority practices in Chicago, IL. The NPI Number for Corrine Dority is 1811582737 and holds a License No. (Illinois).

The current practice location address for Corrine Dority is 5029 W Superior St, Chicago, IL and can be reached out via phone at 312-918-5306.

Location: 5029 W Superior St, Chicago, IL, 60644-1213
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Provider Profile Details
NPI Number
1811582737
Provider Name
Corrine Dority
Credential
Provider Entity Type
Individual
Gender
Female
Address
5029 W Superior St, Chicago, IL, 60644-1213
Phone Number
312-918-5306
Fax Number
Provider Enumeration Date
03/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5029 W Superior St
City
State
Zip
60644-1213
Phone Number
312-918-5306
Fax Number
person
Provider Business Mailing Address Details
Address
5029 W Superior St
City
State
Zip
60644-1213
Phone Number
312-918-5306
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
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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