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General NPI Number Information
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NPI Number | 1336385764
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Entity Type | Organization
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Legal Business Name | WARREN PARK HEALTH AND LIVING CENTER, LLC
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Dates
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Enumeration Date | 01/07/2009
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 6700 N DAMEN AVE
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City | CHICAGO
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State | IL
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Zip | 60645-4902
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Country | US
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Telephone | 773-465-5000
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Fax | 773-743-5983
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Provider Business Mailing Address
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Address Line | 3755 CHASE AVE
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City | SKOKIE
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State | IL
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Zip | 60076-4008
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Country | US
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Telephone | 224-470-2044
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Fax | 224-470-2952
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Authorized Official
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Title or Position | ATTORNEY
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Name | MS. FRANCES MEEHAN
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Credential |
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Telephone | 312-521-2467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 0050070
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License Number State | IL
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