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General NPI Number Information
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NPI Number | 1588583009
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Entity Type | Organization
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Legal Business Name | LANDMARK OF ITASCA REHABILITATION AND NURSING CENTER LLC
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 535 S ELM ST
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City | ITASCA
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State | IL
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Zip | 60143-2187
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Country | US
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Telephone | 630-773-9416
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Fax |
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Provider Business Mailing Address
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Address Line | 535 S ELM ST
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City | ITASCA
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State | IL
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Zip | 60143-2187
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Country | US
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Telephone | 630-773-9416
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | AARON MAUER
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Credential |
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Telephone | 847-902-9586
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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 |
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License Number State |
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