Organization
HABILITATIVE SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD JEROME DEW MSW (PRESIDENT/CEO)
(773) 261-2252
Entity
Organization
Contact information
Practice address
415 S KILPATRICK AVE, CHICAGO, IL 60644-4923
(773) 261-2252
(773) 854-1526
Mailing address
415 S KILPATRICK AVE, CHICAGO, IL 60644-4923
(773) 261-2252
(773) 854-1526
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
199100128C
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04065
—
IL
Enumeration date
08/15/2016
Last updated
10/01/2021
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