Provider Demographics
NPI:1851029961
Name:A TURNING POINT FOR LIFE OF ILLINOIS
Entity Type:Organization
Organization Name:A TURNING POINT FOR LIFE OF ILLINOIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LASHAWN
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:708-414-9143
Mailing Address - Street 1:2 KNOLLWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FLOSSMOOR
Mailing Address - State:IL
Mailing Address - Zip Code:60422-1928
Mailing Address - Country:US
Mailing Address - Phone:708-414-6143
Mailing Address - Fax:
Practice Address - Street 1:4212 207TH ST
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-1753
Practice Address - Country:US
Practice Address - Phone:708-351-2296
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities