Healthcare Provider Details

I. General information

NPI: 1760300222
Provider Name (Legal Business Name): BERKELEY HEALTH & REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6909 NORTH AVE
OAK PARK IL
60302-1008
US

IV. Provider business mailing address

6500 N HAMLIN AVE STE 1
LINCOLNWOOD IL
60712-3904
US

V. Phone/Fax

Practice location:
  • Phone: 708-386-1112
  • Fax:
Mailing address:
  • Phone: 847-679-7620
  • 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: JACOB MERMELSTEIN
Title or Position: MEMBER
Credential:
Phone: 847-679-7484