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State of Illinois — NPI 1609890235, Chicago, IL | NPI Central

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NPI 1609890235

OrganizationActive

State of Illinois

NPI 1609890235 · Physical Disabilities Residential Treatment Facility · Chicago, IL

Provider details

NPI number: 1609890235
Entity type: Organization
Primary specialty: Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
Organization subpart: No
Authorized official: Chris Greenwood, Casemanager(312) 666-3494

Specialties & taxonomies

Physical Disabilities Residential Treatment FacilityPrimary320700000X
Residential Treatment Facilities

Practice location

2424w.charleston

Chicago, IL 60647

Phone: (773) 276-8863

Approximate (ZIP-level) locationGet directions

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Mailing address

2424w.charleston

Chicago, IL 60647

Other names (DBA / former)

Other name: Erie Family Health Center

Registry dates

Enumerated: 2006-07-27
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.