Healthcare Provider Details

I. General information

NPI: 1700115805
Provider Name (Legal Business Name): LAKE SHORE HEALTHCARE & REHABILITATION CENTRE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2009
Last Update Date: 08/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 N SHERIDAN RD
CHICAGO IL
60626-2613
US

IV. Provider business mailing address

3553 W PETERSON AVE SUITE 300
CHICAGO IL
60659-3200
US

V. Phone/Fax

Practice location:
  • Phone: 773-973-7200
  • Fax:
Mailing address:
  • Phone:
  • 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: NESANEL DAVIS
Title or Position: ADMINISTRATOR
Credential:
Phone: 773-463-1313