OrganizationActive
Children'S Therapy Center
NPI 1255744975 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Chicago, IL
Provider details
- NPI number
- 1255744975
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Heidi Hollis, Co-Owner(312) 600-8493
- License
- 056007283 (IL)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 056007283 (IL)
Residential Treatment Facilities
Practice location
8729 S Commercial Ave
Store Front
Chicago, IL 60617-3221
Phone: (312) 600-8493
Approximate (ZIP-level) locationGet directions
Mailing address
8729 S Commercial Ave
Chicago, IL 60617-3221
Registry dates
- Enumerated
- 2014-06-10
- Last updated
- 2014-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.