| Lssi Cila | |
|
1001 E Touhy Ave Suite 170 Des Plaines IL 60018-5801 | |
| (847) 635-4600 | |
| Not Available |
| Full Name | Lssi Cila |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 1001 E Touhy Ave, Des Plaines, Illinois |
| Authorized Official Name and Position | Gerald Noonan (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8476354600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lssi Cila 1001 E Touhy Ave Suite 170 Des Plaines IL 60018-5801 Ph: (847) 635-4600 | Lssi Cila 1001 E Touhy Ave Suite 170 Des Plaines IL 60018-5801 Ph: (847) 635-4600 |
| NPI Number | 1720430606 |
|---|---|
| Provider Enumeration Date | 07/05/2016 |
| Last Update Date | 07/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720430606 | NPI | - | NPPES |
| 199200169C | Other | IL | STATE OF ILLINOIS DEPARTMENT OF HUMAN SERVICES |
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