Healthcare Provider Details

I. General information

NPI: 1093634412
Provider Name (Legal Business Name): LANDMARK OF HYDE PARK NURSING AND REHABILITATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6125 S KENWOOD AVE
CHICAGO IL
60637-2818
US

IV. Provider business mailing address

6125 S KENWOOD AVE
CHICAGO IL
60637-2818
US

V. Phone/Fax

Practice location:
  • Phone: 773-752-6000
  • Fax: 773-752-4857
Mailing address:
  • Phone: 773-752-6000
  • Fax: 773-752-4857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: AARON MAUER
Title or Position: CEO
Credential:
Phone: 847-902-9586