Organization
ILLINOIS VETERANS HOME AT CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
T'KIRA SILER-WILKERSON (ADMINISTRATOR)
(773) 628-5905
Entity
Organization
Contact information
Practice address
4250 N OAK PARK AVE, CHICAGO, IL 60634-1417
(773) 794-3763
Mailing address
4250 N OAK PARK AVE, CHICAGO, IL 60634-1417
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/15/2021
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