National Provider Identifier Database

ASPIRE OF ILLINOIS
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities


Contact Information

ASPIRE OF ILLINOIS
1815 S WOLF RD
HILLSIDE, IL60162-2110
Phone: 708-547-3550
Fax:
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X
Case Management 251B00000X
Day Training, Developmentally Disabled Services 251C00000X
Professional 101YP2500X

* Indicates primary specialty

NPI Profile & details for ASPIRE OF ILLINOIS

NPI Number 1558729558
Legal business name
LBN
ASPIRE OF ILLINOIS
Authorized official KEN GAUL - (CFO)
Entity Organization
Organization subpart No
Enumeration date 02/04/2016
Last updated 02/05/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 178009665
  • IL License #: 180009732

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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