Organization
MAISON TRAO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLABISI APINKE EZEKIEL (ADMINISTRATOR)
(708) 300-4938
Entity
Organization
Contact information
Practice address
6540 N LAWNDALE AVE, LINCOLNWOOD, IL 60712-4020
(708) 300-4938
(708) 300-4938
Mailing address
PO BOX 597841, CHICAGO, IL 60659-7841
(708) 300-4938
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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