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Organization

MARKLUND CHILDREN'S HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GILBERT W FONGER (CEO/PRESIDNET)
(630) 593-5476
Entity
Organization

Contact information

Practice address
1S450 WYATT DR, GENEVA, IL 60134-4921
(630) 593-5500
Mailing address
1S450 WYATT DR, GENEVA, IL 60134-4921

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
IL

Other

Enumeration date
08/06/2016
Last updated
08/06/2016
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