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Organization

ST. COLETTA'S OF ILLINOIS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANNETTE SKAFGAARD (VICE PRESIDENT OF FINANCE & OPERATI)
(708) 342-5253
Entity
Organization

Contact information

Practice address
18350 CROSSING DR, TINLEY PARK, IL 60487-6294
(708) 342-5200
Mailing address
18350 CROSSING DR, TINLEY PARK, IL 60487-6294
(708) 342-5200
(708) 342-2579

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
199100115C
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
199100115C
IL

Other

Enumeration date
03/03/2016
Last updated
03/31/2022
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