Organization
LYDIA GROUP ICF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVRUM WEINFELD (MANAGER)
(708) 385-8700
Entity
Organization
Contact information
Practice address
13901 S LYDIA AVE, ROBBINS, IL 60472-2215
(708) 385-8700
Mailing address
5151 CHURCH ST, SKOKIE, IL 60077-1123
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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