Organization
EASTER SEALS METROPOLITAN CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOLORES NICKEL (DIRECTOR OF EARLY CHILDHOOD SERVICE)
(312) 492-7402
Entity
Organization
Contact information
Practice address
9455 S HOYNE AVE, CHICAGO, IL 60643-6316
(773) 233-1799
(773) 233-2011
Mailing address
1939 W 13TH ST, CHICAGO, IL 60608-1236
(312) 491-4110
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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