Healthcare Provider Details

I. General information

NPI: 1588583009
Provider Name (Legal Business Name): LANDMARK OF ITASCA REHABILITATION AND NURSING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 S ELM ST
ITASCA IL
60143-2187
US

IV. Provider business mailing address

535 S ELM ST
ITASCA IL
60143-2187
US

V. Phone/Fax

Practice location:
  • Phone: 630-773-9416
  • Fax:
Mailing address:
  • Phone: 630-773-9416
  • 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: AARON MAUER
Title or Position: CEO
Credential:
Phone: 847-902-9586