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Organization

LITTLE ANGELS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHELLEY CAROL LEWIS R.N., LNHA (ADMINISTRATOR)
(847) 741-1609
Entity
Organization

Contact information

Practice address
1435 SUMMIT STREET, ELGIN, IL 60120-9218
(847) 741-1609
(847) 622-5523
Mailing address
1435 SUMMIT STREET, ELGIN, IL 60120-9218
(847) 741-1609
(847) 622-5523

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0010918
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
14G247
IL
Enumeration date
03/16/2007
Last updated
08/22/2020
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