Organization
HABILITATIVE SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD J. DEW (PRESIDENT/CEO)
(773) 854-1830
Entity
Organization
Contact information
Practice address
415 S KILPATRICK AVE, CHICAGO, IL 60644-4923
(773) 261-2252
(773) 854-8300
Mailing address
415 S KILPATRICK AVE, CHICAGO, IL 60644-4923
(773) 261-2252
(773) 854-8300
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
04065
IL
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04065
—
IL
Enumeration date
07/01/2009
Last updated
10/01/2021
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