Organization
PARK LAWN SCHOOL & ACTIVITY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES R WEISE (EXECUTIVE DIRECTOR)
(708) 425-3344
Entity
Organization
Contact information
Practice address
10833 LAPORTE AVE, OAK LAWN, IL 60453-5412
(708) 425-3344
(708) 425-3530
Mailing address
10833 LAPORTE AVE, OAK LAWN, IL 60453-5412
(708) 425-3344
(708) 425-3530
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
NONE
IL
315P00000X
Intellectual Disabilities Intermediate Care Facility
0027078
IL
315P00000X
Intellectual Disabilities Intermediate Care Facility
0035527
IL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
92C173
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0027078
—
IL
05
—
0035527
—
IL
01
—
92C172
DHS LICENSE
IL
Enumeration date
04/23/2007
Last updated
09/11/2025
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