Organization
ILLINOIS DEPARTMENT OF HUMAN SERVICES
Active
Other names
Shapiro Development Center
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA MUHLSTADT (FISCAL ADMINISTRATOR, SODC OPERATIO)
(815) 288-8335
Entity
Organization
Contact information
Practice address
100 E JEFFERY ST, KANKAKEE, IL 60901-5018
(815) 939-8201
(815) 939-8266
Mailing address
100 E JEFFERY ST, KANKAKEE, IL 60901-5018
(815) 939-8201
(815) 939-8266
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
IL
Other
Enumeration date
02/02/2007
Last updated
12/22/2016
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