Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
COVENANT ENABLING RESIDENCES OF ILLINOIS
Active
Organization
COVENANT ENABLING RESIDENCES OF ILLINOIS
Active
Other names
Bjorklund House
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ANN SMITH (ADMINISTRATOR)
(708) 687-2038
Entity
Organization
Contact information
Practice address
15841 TERRACE DR, OAK FOREST, IL 60452-2911
(708) 687-2038
(708) 687-2762
Mailing address
15841 TERRACE DR, OAK FOREST, IL 60452-2911
(708) 687-2038
(708) 687-2762
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
08/06/2016
Last updated
08/06/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up