Organization
ASPIRE OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN GAUL (CFO)
(708) 547-3550
Entity
Organization
Contact information
Practice address
1815 S WOLF RD, HILLSIDE, IL 60162-2110
(708) 547-3550
Mailing address
1815 S WOLF RD, HILLSIDE, IL 60162-2110
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178009665
IL
101YP2500X
Professional Counselor
180009732
IL
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/04/2016
Last updated
02/05/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up