Organization
ALDEN VILLAGE HEALTH FACILITY FOR CHILDREN AND YOUNG ADULTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLOYD A SCHLOSSBERG (PRESIDENT)
(773) 286-6622
Entity
Organization
Contact information
Practice address
267 E LAKE ST, BLOOMINGDALE, IL 60108-1174
(630) 529-3350
(630) 529-9866
Mailing address
4200 W PETERSON AVE, SUITE 140, CHICAGO, IL 60646-6074
(773) 286-6622
(773) 286-2150
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
0038455
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009
BLUE CROSS
IL
Enumeration date
10/06/2005
Last updated
08/22/2020
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