Organization
THI OF ILLINOIS AT EXCEPTIONAL HEALTH, LLC
Active
Other names
Exceptional Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN MITCHELL (PRESIDENT)
(708) 499-5400
Entity
Organization
Contact information
Practice address
5701 W 79TH ST, BURBANK, IL 60459-1332
(708) 499-5400
(708) 499-5472
Mailing address
930 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0046458
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
521979253001
—
IL
Enumeration date
07/20/2006
Last updated
08/22/2020
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