Healthcare Provider Details

I. General information

NPI: 1215449459
Provider Name (Legal Business Name): LANDMARK OF DES PLAINES REHABILITATION AND NURSING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2017
Last Update Date: 10/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 W BALLARD RD
DES PLAINES IL
60016-4904
US

IV. Provider business mailing address

6101 NIMTZ PKWY
SOUTH BEND IN
46628-6111
US

V. Phone/Fax

Practice location:
  • Phone: 847-294-2300
  • Fax: 847-299-4012
Mailing address:
  • Phone: 269-281-4200
  • 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: JEFFREY SAX
Title or Position: MGR
Credential:
Phone: 269-281-4200