Organization
WEST SUBURBAN SENIOR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JENNINGS PH.D. (CHIEF EXECUTIVE OFFICER)
(708) 547-5600
Entity
Organization
Contact information
Practice address
439 BOHLAND AVE, BELLWOOD, IL 60104-1833
(708) 547-5600
(708) 547-0036
Mailing address
439 BOHLAND AVENUE, BELLWOOD, IL 60104
(708) 547-5600
(708) 547-0036
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
IL
251C00000X
Developmentally Disabled Services Day Training Agency
—
IL
251S00000X
Community/Behavioral Health Agency
—
IL
253Z00000X
In Home Supportive Care Agency
—
IL
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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