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Organization
ADA S. MCKINLEY COMMUNITY SERVICES, INC.
Active
Organization
ADA S. MCKINLEY COMMUNITY SERVICES, INC.
Active
Other names
DAVIS HOUSE
Organization subpart
No
Provider details
NPI number
Authorized official
KEN FRIES (DIR QA&C)
(630) 744-9431
Entity
Organization
Contact information
Practice address
4237 S INDIANA AVE, CHICAGO, IL 60653-3213
(773) 373-1044
(773) 373-2387
Mailing address
1359 W WASHINGTON BLVD, CHICAGO, IL 60607-1905
(312) 385-2000
(312) 554-0292
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030585
IDPH LICENSE
IL
Enumeration date
10/11/2012
Last updated
05/06/2025
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