Healthcare Provider Details

I. General information

NPI: 1619896032
Provider Name (Legal Business Name): LANDMARK AT 95TH REHABILITATION AND NURSING 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

1010 W 95TH ST
CHICAGO IL
60643-1522
US

IV. Provider business mailing address

1010 W 95TH ST
CHICAGO IL
60643-1522
US

V. Phone/Fax

Practice location:
  • Phone: 773-298-1177
  • Fax: 773-233-1739
Mailing address:
  • Phone: 773-298-1177
  • Fax: 773-233-1739

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