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General NPI Number Information
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NPI Number | 1366439267
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Entity Type | Organization
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Legal Business Name | ALDEN-POPLAR CREEK REHABILITATION AND HEALTH CARE CENTER, INC.
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Dates
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Enumeration Date | 10/05/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1545 BARRINGTON RD
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60194-1018
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Country | US
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Telephone | 847-884-0011
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Fax | 847-884-0121
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Provider Business Mailing Address
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Address Line | 4200 W PETERSON AVE SUITE 140
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City | CHICAGO
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State | IL
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Zip | 60646-6074
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Country | US
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Telephone | 773-286-6622
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Fax | 773-286-2150
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Authorized Official
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Title or Position | PRESIDENT
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Name | FLOYD A SCHLOSSBERG
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Credential |
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Telephone | 773-286-6622
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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 | 0032896
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License Number State | IL
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