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Pioneer Concepts Inc

Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Sauk Village, IL

NPI 1760655989 · NPPES record last updated Apr 20, 2008

Key facts

NPI
1760655989
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
License
48025 (IL)
Legal business name
PIONEER CONCEPTS INC
Practice address
1770 Sauk Trail
Sauk Village, IL 60411-4956
Phone
(708) 757-6729
Fax
(708) 757-6974
NPI assigned
Apr 9, 2008
Organization subpart
Yes
Parent organization (as reported)
PIONEER CONCEPTS INC

Authorized official

Name
Mr. Ronald J Wilson
Title
Authorized Agent
Phone
(309) 343-1550

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 12

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Pioneer Concepts Inc (13 organizations share this tax ID)
Part of
Pioneer Concepts Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 48025 IL Yes

Addresses

Primary practice location

1770 Sauk Trail
Sauk Village, IL 60411-4956

Mailing address

285 South Farnham Street
Galesburg, IL 61401-5323
Phone (309) 343-1550

Other names

  • Prairie House Doing business as

Other providers in Sauk Village, IL

All providers in Sauk Village, IL · Intellectual Disabilities Intermediate Care Facility in Illinois

Sources for this page

Verify at the official NPI Registry.