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NPI Code Detail

MEDICARE: WESTMONT NURSING AND REHABILITATION CENTER LLC

MEDICARE: WESTMONT NURSING AND REHABILITATION CENTER 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 Facility0050120IL

General Provider Information

NPI Number : 1427214519
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESTMONT NURSING AND REHABILITATION CENTER LLC
Provider Business Mailing Address
First Line : 5151 CHURCH ST
Second Line :
City : SKOKIE
State : IL
Zip : 60077-1123
Country : US
Telephone Number : 847-933-9200
Fax Number : 847-933-9765
Provider Business Practice Location Address
First Line : 6501 S CASS AVE
Second Line :
City : WESTMONT
State : IL
Zip : 60559-3200
Country : US
Telephone Number : 630-960-2026
Fax Number : 630-960-0480
Authorized Official
Title or Position : CFO
Name : MR. AVRUM WEINFELD
Credential :
Telephone Number : 847-674-5795
Provider Enumeration Date : 07/29/2008
Last Update Date : 10/16/2024

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