Organization
HABILITATIVE SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD JEROME DEW MSW (PRESIDENT/CEO)
(773) 854-1830
Entity
Organization
Contact information
Practice address
6845 S WESTERN AVE, CHICAGO, IL 60636
(773) 745-2650
(773) 349-8607
Mailing address
415 S KILPATRICK AVE, CHICAGO, IL 60644-4923
(773) 261-2252
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04065
—
IL
Enumeration date
05/05/2014
Last updated
10/01/2021
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