Organization
THE CHILDREN'S PLACE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY KRIEGER (PRESIDENT / CEO)
(773) 826-1230
Entity
Organization
Contact information
Practice address
3059 W AUGUSTA BLVD, CHICAGO, IL 60622-4314
(773) 826-1230
(773) 826-0705
Mailing address
3059 W. AUGUSTA BLVD., CHICAGO, IL 60010
(773) 826-1230
(773) 826-0705
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
335263-02
DCFS LISCENSE
IL
Enumeration date
06/27/2006
Last updated
08/22/2020
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