Organization
MARGARET MANOR INC.
Active
Other names
MADO HEALTHCARE - OLD TOWN, Margaret Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER J O'BRIEN (PRESIDENT)
(312) 787-9400
Entity
Organization
Contact information
Practice address
1121 N ORLEANS ST, CHICAGO, IL 60610
(312) 943-4300
(312) 943-4304
Mailing address
405 N WABASH AVE STE P2W, CHICAGO, IL 60611-3541
(312) 787-9400
(312) 787-9434
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
0011239
IL
Other
Enumeration date
09/15/2005
Last updated
04/29/2019
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