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NPI Code Detail

MEDICARE: AXIOM HEALTHCARE OF FLORA LLC

MEDICARE: AXIOM HEALTHCARE OF FLORA LLC
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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1366279853
Entity Type Code : Organization
Provider Name (Legal Business Name) : AXIOM HEALTHCARE OF FLORA LLC
Provider Business Mailing Address
First Line : 4655 W CHASE AVE
Second Line :
City : LINCOLNWOOD
State : IL
Zip : 60712-1605
Country : US
Telephone Number : 847-262-3800
Fax Number :
Provider Business Practice Location Address
First Line : 232 GIVEN DR
Second Line :
City : FLORA
State : IL
Zip : 62839-1094
Country : US
Telephone Number : 618-662-8381
Fax Number :
Authorized Official
Title or Position : VP OF REVENUE CYCLE MANAGEMENT
Name : JENNIFER SPECTOR
Credential :
Telephone Number : 847-262-3800
Provider Enumeration Date : 09/18/2024
Last Update Date : 11/04/2025

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Directions to “AXIOM HEALTHCARE OF FLORA LLC ” Practice Location

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