Organization
ST. COLETTA'S OF ILLINOIS, INC.
Active
Other names
Country Club Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNETTE SKAFGAARD CPA (DIRECTOR OF FINANCE)
(708) 342-5253
Entity
Organization
Contact information
Practice address
4900 183RD ST, COUNTRY CLUB HILLS, IL 60478-4568
(708) 647-0752
(708) 342-2579
Mailing address
18350 CROSSING DR, TINLEY PARK, IL 60487-6294
(708) 342-5200
(708) 429-7021
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
01/31/2008
Last updated
03/31/2022
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