Organization
BRYN MAWR CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS WINTER CPA (CFO)
(847) 675-7979
Entity
Organization
Contact information
Practice address
5547 N KENMORE AVE, CHICAGO, IL 60640-1515
(773) 561-7040
(773) 561-7543
Mailing address
4100 W PRATT AVE, LINCOLNWOOD, IL 60712-3517
(847) 675-7979
(847) 674-5267
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
0035618
IL
Other
Enumeration date
06/14/2005
Last updated
09/04/2015
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