Healthcare Provider Details
I. General information
NPI: 1740196906
Provider Name (Legal Business Name): CHOSEN FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2064 S RIVER RD
DES PLAINES IL
60018-3214
US
IV. Provider business mailing address
2064 S RIVER RD
DES PLAINES IL
60018-3214
US
V. Phone/Fax
- Phone: 630-656-7339
- Fax:
- Phone: 630-656-7339
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RANI
KAPPEN
Title or Position: DIRECTOR
Credential: RN
Phone: 630-656-7339