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NPI Code Detail

MEDICARE: WEST RIDGE REHABILITATION CENTER, LLC

MEDICARE: WEST RIDGE REHABILITATION CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility0019091IL
2314000000XSkilled Nursing Facility0049817IL

General Provider Information

NPI Number : 1033291216
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST RIDGE REHABILITATION CENTER, LLC
Provider Business Mailing Address
First Line : 6300 N. CALIFORNIA AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60659-1702
Country : US
Telephone Number : 773-973-1900
Fax Number : 773-973-7327
Provider Business Practice Location Address
First Line : 6300 N. CALIFORNIA AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60659-1702
Country : US
Telephone Number : 773-973-1900
Fax Number : 773-973-7327
Authorized Official
Title or Position : LICENSED NURSING HOME ADMINISTRATOR
Name : MR. LEO W FEIGENBAUM
Credential :
Telephone Number : 773-973-1900
Provider Enumeration Date : 10/19/2006
Last Update Date : 03/26/2009

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Directions to “WEST RIDGE REHABILITATION CENTER, LLC ” Practice Location

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