Provider Demographics
NPI:1336597632
Name:THE ARTS OF LIFE, INC.
Entity Type:Organization
Organization Name:THE ARTS OF LIFE, INC.
Other - Org Name:ARTS OF LIFE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-829-2787
Mailing Address - Street 1:2010 W CARROLL AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-1602
Mailing Address - Country:US
Mailing Address - Phone:312-829-2787
Mailing Address - Fax:312-829-0257
Practice Address - Street 1:2010 W CARROLL AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-1602
Practice Address - Country:US
Practice Address - Phone:312-829-2787
Practice Address - Fax:312-829-0257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services