Healthcare Provider Details

I. General information

NPI: 1487585642
Provider Name (Legal Business Name): ASPYRE OF BRONZEVILLE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4314 S WABASH AVE
CHICAGO IL
60653-3119
US

IV. Provider business mailing address

8140 MCCORMICK BLVD STE 138
SKOKIE IL
60076-2920
US

V. Phone/Fax

Practice location:
  • Phone: 773-538-8300
  • Fax: 773-538-5775
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: EFRIAM WEINFELD
Title or Position: MEDICARE AUTHORIZED OFFICIAL
Credential:
Phone: 773-557-0432