| Country Club Terrace | |
|
4900 183rd St Country Club Hills IL 60478-4568 | |
| (708) 647-0752 | |
| (708) 342-2579 |
| Full Name | Country Club Terrace |
|---|---|
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
| Location | 4900 183rd St, Country Club Hills, Illinois |
| Authorized Official Name and Position | Annette Skafgaard (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 7083425253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Country Club Terrace 18350 Crossing Dr Tinley Park IL 60487-6294 Ph: (708) 342-5200 | Country Club Terrace 4900 183rd St Country Club Hills IL 60478-4568 Ph: (708) 647-0752 |
| NPI Number | 1154509289 |
|---|---|
| Provider Enumeration Date | 01/31/2008 |
| Last Update Date | 03/31/2022 |
| Certification Date | 03/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154509289 | NPI | - | NPPES |
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