Organization
FOATEX HEALTH CILACARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELIX O. AGOYE MPH, PHD (PRESIDENT)
(773) 556-9600
Entity
Organization
Contact information
Practice address
823 163RD ST, CALUMET CITY, IL 60409-5915
(773) 556-9600
(708) 326-2121
Mailing address
4219 179TH ST, COUNTRY CLUB HILLS, IL 60478-4714
(773) 556-9600
(708) 326-2121
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/10/2020
Last updated
10/10/2020
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