Shady Oaks Developmental Training Center | |
16248 S Parker Rd Homer Glen IL 60491-9081 | |
(708) 301-3885 | |
(708) 301-1509 |
Full Name | Shady Oaks Developmental Training Center |
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Speciality | Day Training, Developmentally Disabled Services |
Location | 16248 S Parker Rd, Homer Glen, Illinois |
Authorized Official Name and Position | Gerald Noonan (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 8476354600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Shady Oaks Developmental Training Center 1001 E Touhy Ave Suite 170 Des Plaines IL 60018-5801 Ph: (847) 635-4600 | Shady Oaks Developmental Training Center 16248 S Parker Rd Homer Glen IL 60491-9081 Ph: (708) 301-3885 |
NPI Number | 1477904555 |
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Provider Enumeration Date | 06/29/2016 |
Last Update Date | 06/29/2016 |
Identifier | Type | State | Issuer |
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1477904555 | NPI | - | NPPES |
199200169C | Other | IL | STATE OF ILLINOIS DEPARTMENT OF HUMAN SERVICES |
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