institution
Nine Forty Cullom Corporation
Mental Illness Intermediate Care Facility in Chicago, Illinois
NPI 1912998188

Nine Forty Cullom Corporation is a Mental Illness Intermediate Care Facility based in Chicago, IL. Nine Forty Cullom Corporation practices in Chicago, IL. The NPI Number for Nine Forty Cullom Corporation is 1912998188 and holds a License No. 0017178 (Illinois).

The current practice location address for Nine Forty Cullom Corporation is 940 W Cullom Ave, Chicago, IL and can be reached out via phone at 773-525-9000 and via fax at 773-525-8016.

Location: 940 W Cullom Ave, Chicago, IL, 60611-3541
institution
Provider Profile Details
NPI Number
1912998188
Provider Name
Nine Forty Cullom Corporation
Credential
Provider Entity Type
Organization
Address
940 W Cullom Ave, Chicago, IL, 60611-3541
Phone Number
773-525-9000
Fax Number
773-525-8016
Provider Enumeration Date
11/04/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
940 W Cullom Ave
City
State
Zip
60613
Phone Number
773-525-9000
Fax Number
773-525-8016
person
Provider Business Mailing Address Details
Address
940 W Cullom Ave
City
State
Zip
60613
Phone Number
773-525-9000
Fax Number
773-525-8016
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mental Illness
Speciality
-
Taxonomy
License No.
0017178 (Illinois)
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
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