Organization
ST NICHOLAS CILA HOMES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS EFOSA AGBONIFO (PRESIDENT)
(773) 240-9225
Entity
Organization
Contact information
Practice address
6204 OLD PLANK BLVD, MATTESON, IL 60443-1453
(773) 240-9225
(773) 240-9225
Mailing address
8734 CARLISLE CT, DARIEN, IL 60561-5372
(773) 240-9225
(773) 240-9225
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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