Organization
MOUNT ST JOSEPH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET KOSMAN (ADMINISTRATOR/DIRECTOR)
(847) 438-5050
Entity
Organization
Contact information
Practice address
24955 N HIGHWAY 12, LAKE ZURICH, IL 60047
(847) 438-5050
(847) 719-1060
Mailing address
24955 N HIGHWAY 12, LAKE ZURICH, IL 60047
(847) 438-5050
(847) 719-1060
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
0005520
IL
Other
Enumeration date
09/22/2006
Last updated
05/07/2025
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