Healthcare Provider Details

I. General information

NPI: 1780660878
Provider Name (Legal Business Name): THE POINTE AT KILPATRICK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2005
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14230 KILPATRICK AVE
CRESTWOOD IL
60445-2399
US

IV. Provider business mailing address

14230 KILPATRICK AVE
CRESTWOOD IL
60445-2399
US

V. Phone/Fax

Practice location:
  • Phone: 708-293-0010
  • Fax: 708-293-0020
Mailing address:
  • Phone: 708-293-0010
  • Fax: 708-293-0020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL G STEIN
Title or Position: MANAGING MEMBER OF GENERAL PARTNER
Credential:
Phone: 773-230-7762