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Organization
ZACHARY HOUSE
Active
Organization
ZACHARY HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN WITT (CHIEF FINANCIAL OFFICER)
(847) 397-0055
Entity
Organization
Contact information
Practice address
1102 EAST AVENUE, STREAMWOOD, IL 60107
(630) 483-0537
(630) 483-0537
Mailing address
1102 EAST AVENUE, STREAMWOOD, IL 60107
(630) 483-0537
(630) 483-0537
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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