Organization
ALDEN OF OLD TOWN EAST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLOYD A SCHLOSSBERG (PRESIDENT)
(773) 286-6622
Entity
Organization
Contact information
Practice address
108 1ST ST, BLOOMINGDALE, IL 60108-1220
(630) 671-1703
(630) 671-1706
Mailing address
4200 W PETERSON AVE, SUITE 140, CHICAGO, IL 60646-6074
(773) 286-6622
(773) 286-2150
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0042069
IL
Other
Enumeration date
10/06/2005
Last updated
08/22/2020
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