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NPI Code Detail

MEDICARE: MERCY HEALTH CARE AND REHABILITATION CENTER

MEDICARE: MERCY HEALTH CARE AND 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
1314000000XSkilled Nursing Facility0045591IL

General Provider Information

NPI Number : 1922114057
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY HEALTH CARE AND REHABILITATION CENTER
Provider Business Mailing Address
First Line : 4101 MAIN ST
Second Line :
City : SKOKIE
State : IL
Zip : 60076-2753
Country : US
Telephone Number : 847-677-7777
Fax Number : 847-677-7796
Provider Business Practice Location Address
First Line : 19000 HALSTED ST
Second Line :
City : HOMEWOOD
State : IL
Zip : 60430-4204
Country : US
Telephone Number : 708-957-9200
Fax Number : 708-799-4787
Authorized Official
Title or Position : MANAGER
Name : EDIE FREIMARK
Credential :
Telephone Number : 847-677-7777
Provider Enumeration Date : 08/22/2006
Last Update Date : 08/22/2020

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Directions to “MERCY HEALTH CARE AND REHABILITATION CENTER ” Practice Location

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