OrganizationActive
Bethshan Association
NPI 1790822815 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Palos Heights, IL
Provider details
- NPI number
- 1790822815
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Steven Goudzwaard, Director of Finance(708) 371-0800
- License
- 91C024 (IL)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 91C024 (IL)
Residential Treatment Facilities
Practice location
12927 S Monitor Ave
Palos Heights, IL 60463-2434
Phone: (708) 371-0800
Fax: (708) 371-0833
Approximate (ZIP-level) locationGet directions
Mailing address
12927 S Monitor Ave
Palos Heights, IL 60463-2434
Registry dates
- Enumerated
- 2007-01-30
- 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.