CTF Illinois

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

CTF ILLINOIS

Practice address

18230 Orland Pkwy
Orland Park, IL 60467-5688

Phone

(708) 429-1260

Fax

(708) 429-9107

NPI assigned

Dec 16, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary P Ambrosino

Title

Chief Executive Officer

Phone

(708) 429-1260

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1609231778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18230 ORLAND PKWY",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675688",
            "telephone_number": "708-429-1260",
            "fax_number": "708-429-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18230 ORLAND PKWY",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675688",
            "telephone_number": "708-429-1260",
            "fax_number": "708-429-9107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6775 Prosperi Dr",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "604774789",
            "country_code": "US",
            "telephone_number": "708-429-1260",
            "fax_number": "708-429-9107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CTF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "AMBROSINO",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "708-429-1260"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Developmentally Disabled Services Day Training Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.