Organization
COMMUNITY CARE SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK J VALA (CEO)
(217) 698-0200
Entity
Organization
Contact information
Practice address
4415 HARRISON ST, SUITE 405, HILLSIDE, IL 60162-1910
(708) 449-8390
(708) 449-8391
Mailing address
405 N MACARTHUR BLVD, SPRINGFIELD, IL 62702-2312
(217) 698-0200
(217) 698-9862
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
951
—
IL
Enumeration date
05/19/2014
Last updated
10/26/2016
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