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NPI Code Detail

MEDICARE: THE SKY IS THE LIMIT RECOVERY FACILITIES, INC.

MEDICARE: THE SKY IS THE LIMIT RECOVERY FACILITIES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1252Y00000XEarly Intervention Provider AgencyA45570002IL

General Provider Information

NPI Number : 1912288549
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE SKY IS THE LIMIT RECOVERY FACILITIES, INC.
Provider Business Mailing Address
First Line : 6857 S HALSTED ST
Second Line : 2
City : CHICAGO
State : IL
Zip : 60621-1833
Country : US
Telephone Number : 773-994-8256
Fax Number : 773-994-8261
Provider Business Practice Location Address
First Line : 6857 S HALSTED ST
Second Line : 2
City : CHICAGO
State : IL
Zip : 60621-1833
Country : US
Telephone Number : 773-994-8256
Fax Number : 773-994-8261
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MR. WILLIAM E. HARRIS III
Credential :
Telephone Number : 773-994-8244
Provider Enumeration Date : 09/09/2011
Last Update Date : 09/09/2011

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Directions to “THE SKY IS THE LIMIT RECOVERY FACILITIES, INC. ” Practice Location

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