Healthcare Provider Details

I. General information

NPI: 1366456261
Provider Name (Legal Business Name): RIDGEVIEW REHAB & NURSING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6450 N RIDGE BLVD
CHICAGO IL
60626-4804
US

IV. Provider business mailing address

3737 W ARTHUR AVE
LINCOLNWOOD IL
60712-4029
US

V. Phone/Fax

Practice location:
  • Phone: 773-742-8700
  • Fax:
Mailing address:
  • Phone: 847-679-2121
  • Fax:

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: MR. JEFFREY WEBSTER
Title or Position: PRES
Credential:
Phone: 847-679-2121