Organization
LITTLE SISTERS OF THE POOR CHICAGO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAIRE MCCANLESS (PRESIDENT)
(773) 935-9600
Entity
Organization
Contact information
Practice address
2325 N LAKEWOOD AVE, CHICAGO, IL 60614-3112
(773) 935-9600
(773) 935-4291
Mailing address
2325 N LAKEWOOD AVE, CHICAGO, IL 60614-3112
(773) 935-9600
(773) 935-4291
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005563
—
IL
Enumeration date
03/05/2007
Last updated
12/18/2017
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