Healthcare Provider Details

I. General information

NPI: 1760823116
Provider Name (Legal Business Name): WARREN BARR LIVING & REHAB CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2013
Last Update Date: 07/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 W OAK ST
CHICAGO IL
60610-7325
US

IV. Provider business mailing address

7040 N RIDGEWAY AVE
LINCOLNWOOD IL
60712-2620
US

V. Phone/Fax

Practice location:
  • Phone: 312-705-5100
  • Fax:
Mailing address:
  • Phone: 847-679-9797
  • 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: REUVEN LEVITIN
Title or Position: ACCOUNTS RECEIVABLE MANAGER
Credential:
Phone: 847-676-5342