Organization
SHINE ON ME INC. OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSELYN SHINE (CEO)
(708) 743-7011
Entity
Organization
Contact information
Practice address
153 NANTI ST, PARK FOREST, IL 60466-2529
(708) 506-3900
Mailing address
153 NANTI ST, PARK FOREST, IL 60466-2529
(708) 506-3900
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
201400008C
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20150923983310
—
IL
Enumeration date
12/22/2015
Last updated
12/22/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us