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NPI Code Detail

MEDICARE: OREGON LIVING & REHABILITATION CENTER

MEDICARE: OREGON LIVING & REHABILITATION CENTER
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
1332BX2000XOxygen Equipment & Supplies (DME)0051607IL

General Provider Information

NPI Number : 1356609978
Entity Type Code : Organization
Provider Name (Legal Business Name) : OREGON LIVING & REHABILITATION CENTER
Provider Business Mailing Address
First Line : 811 S 10TH ST
Second Line :
City : OREGON
State : IL
Zip : 61061-2129
Country : US
Telephone Number : 815-732-7994
Fax Number : 815-732-7998
Provider Business Practice Location Address
First Line : 811 S 10TH ST
Second Line :
City : OREGON
State : IL
Zip : 61061-2129
Country : US
Telephone Number : 815-732-7994
Fax Number : 815-732-7998
Authorized Official
Title or Position : MEMBER
Name : MOSHE HERMAN
Credential :
Telephone Number : 847-982-2300
Provider Enumeration Date : 05/02/2012
Last Update Date : 05/02/2012

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Directions to “OREGON LIVING & REHABILITATION CENTER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.