CTF
Organization Active NPI Developmentally Disabled Services Day Training Agency · Homewood, IL
NPI 1306118997 · NPPES record last updated Apr 14, 2021
Key facts
- NPI
- 1306118997
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- License
- 320900000X (IL)
- Legal business name
- CTF
- Practice address
- 17341 Palmer Blvd
Homewood, IL 60430-4605 - Phone
- (708) 922-1532
- Fax
- (708) 922-1526
- NPI assigned
- Jan 30, 2012
- Organization subpart
- No
Authorized official
- Name
- Mr. Eric Edquist
- Title
- Vice President
- Phone
- (708) 922-1532
Corporate family (same tax ID) 8
National Provider Directory
- Tax ID family
- CTF Illinois
Locations
17341 Palmer Blvd
Homewood, IL 60430
Phone (708) 922-1532
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 320900000X | IL | Yes |
Addresses
Primary practice location
17341 Palmer Blvd
Homewood, IL 60430-4605
Mailing address
1902 Fox Dr Ste B
Champaign, IL 61820-7378
Phone (217) 352-7158
Other names
- Charleston Transitional Facility
Other providers in Homewood, IL
- Laura J Cortez
- Niesha Cory
- Deavolon Cotton
- Creative Approaches to Therapy Inc
- Crystal Clear Behavioral Health Services
- Laqueishia S. Cummins-Omosebi
- Bridgett Curling-Chambers
- Tremayne Curry
- D Care Incorporated
- Storm Dade
All providers in Homewood, IL · Developmentally Disabled Services Day Training Agency in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.