Healthcare Provider Details

I. General information

NPI: 1003230384
Provider Name (Legal Business Name): CENTER FOR SENIORS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2014
Last Update Date: 02/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 REMINGTON RD
SCHAUMBURG IL
60173-4542
US

IV. Provider business mailing address

611 REMINGTON RD
SCHAUMBURG IL
60173-4542
US

V. Phone/Fax

Practice location:
  • Phone: 847-885-1000
  • Fax:
Mailing address:
  • Phone: 847-885-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JAEKWQAN HA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 847-885-1000