Healthcare Provider Details
I. General information
NPI: 1669391082
Provider Name (Legal Business Name): LANDMARK OF OAK LAWN 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
9525 MAYFIELD AVE
OAK LAWN IL
60453-2817
US
IV. Provider business mailing address
9525 MAYFIELD AVE
OAK LAWN IL
60453-2817
US
V. Phone/Fax
- Phone: 773-348-4055
- Fax:
- Phone: 773-348-4055
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AARON
MAUER
Title or Position: CEO
Credential:
Phone: 847-902-9586