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General NPI Number Information
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NPI Number | 1467559120
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Entity Type | Organization
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Legal Business Name | HIGHLAND PARK NURSING & REHAB CENTER LLC
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Dates
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Enumeration Date | 09/17/2006
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Last Update Date | 09/10/2019
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Provider Practice Location Address
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Address Line | 50 PLEASANT AVE
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City | HIGHWOOD
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State | IL
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Zip | 60040-1813
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Country | US
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Telephone | 847-432-9142
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Fax | 847-432-4740
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Provider Business Mailing Address
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Address Line | 8131 MONTICELLO AVE
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City | SKOKIE
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State | IL
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Zip | 60076-3325
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Country | US
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Telephone | 847-673-6767
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Fax | 847-673-6768
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Authorized Official
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Title or Position | MANAGER
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Name | MR. YOSEF MEYSTEL
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Credential |
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Telephone | 847-673-6767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 0048330
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License Number State | IL
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