Healthcare Provider Details

I. General information

NPI: 1770764037
Provider Name (Legal Business Name): BERKSHIRE NURSING & REHAB CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2007
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 ROOSEVELT RD
FOREST PARK IL
60130-2528
US

IV. Provider business mailing address

8131 MONTICELLO AVE
SKOKIE IL
60076-3325
US

V. Phone/Fax

Practice location:
  • Phone: 708-488-9850
  • Fax: 708-488-9870
Mailing address:
  • Phone: 847-673-6767
  • Fax: 847-673-6768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number2203843
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER SPECTOR
Title or Position: VP OF REVENUE CYCLE MANAGEMENT
Credential:
Phone: 847-262-3800