Organization
CLAYTON RESIDENTIAL HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DEAN DUROS (CFO COO)
(847) 441-8200
Entity
Organization
Contact information
Practice address
2026 N CLARK ST, CHICAGO, IL 60614-4764
(773) 549-1840
(773) 549-2036
Mailing address
465 CENTRAL AVE, SUITE 100, NORTHFIELD, IL 60093-3045
(847) 441-8200
(847) 441-0800
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
0016634
IL
Other
Enumeration date
06/28/2006
Last updated
07/26/2016
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