Organization
MADO HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MROZ (DEVELOPMENT DIRECTOR)
(312) 399-4193
Entity
Organization
Contact information
Practice address
1541 NORTH WELLS, CHICAGO, IL 60610-1307
(312) 787-9400
Mailing address
1541 NORTH WELLS, CHICAGO, IL 60610-1307
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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