Organization
ASPIRE OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES B O'BRIEN (VP OF BUSINESS ADMININSTATION)
(708) 547-3550
Entity
Organization
Contact information
Practice address
105 EASTERN AVE, BELLWOOD, IL 60104-1220
(708) 547-3550
(708) 547-4067
Mailing address
9901 DERBY LN, WESTCHESTER, IL 60154-3709
(708) 547-3550
(708) 547-4067
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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