Organization · NPI-2

Bryn Mawr Care, INC.

Intermediate Care Facility, Mental Illness · Chicago, IL

NPI number1891790242
StatusActive
Last updated in NPPESSep 4, 2015

Details

NPI
1891790242
Entity type
Organization (NPI-2)
Legal business name
Bryn Mawr Care, INC.
Organization subpart
No
Enumeration date
Jun 14, 2005
Last updated
Sep 4, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310500000X Intermediate Care Facility, Mental Illness0035618ILYes

Practice location

5547 N Kenmore Ave
Chicago, IL 60640-1515

Phone 773-561-7040 · Fax 773-561-7543

Mailing address

4100 W Pratt Ave
Lincolnwood, IL 60712-3517

Phone 847-675-7979 · Fax 847-674-5267

Authorized official

Thomas Winter
Cfo
8476757979

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