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Organization
ST. COLETTA'S OF ILLINOIS, INC.
Active
Organization
ST. COLETTA'S OF ILLINOIS, INC.
Active
Other names
Country Club Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNETTE SKAFGAARD CPA (DIRECTOR OF FINANCE)
(708) 342-5253
Entity
Organization
Contact information
Practice address
4900 183RD ST, COUNTRY CLUB HILLS, IL 60478-4568
(708) 647-0752
(708) 342-2579
Mailing address
18350 CROSSING DR, TINLEY PARK, IL 60487-6294
(708) 342-5200
(708) 429-7021
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
01/31/2008
Last updated
03/31/2022
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