MEDICARE: COURTYARD AT BELLEVUE

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
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1134058498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COURTYARD AT BELLEVUE

Provider Business Mailing Address
First Line	:	230 W MONROE ST STE 710
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60606-4702
Country	:	US
Telephone Number	:	312-462-4462
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 HOFFMAN RD
Second Line	:
City	:	BELLEVUE
State	:	WI
Zip	:	54311-6291
Country	:	US
Telephone Number	:	312-462-4462
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. THOMAS M OSTROM
Credential	:
Telephone Number	:	312-623-0884

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

Similar Medicare Providers

1497794457 — HOSPICE PREFERRED CHOICE, INC.
Practice Location Address:

2633 DEVELOPMENT DR STE 10
BELLEVUE, WI
54311-4239

Practice Phone: 920-497-4672
Practice Fax:

1851390686 — HEMOPHILIA OUTREACH OF WISCONSIN, INC.
Practice Location Address:

2060 BELLEVUE ST
GREEN BAY, WI
54311-5622

Practice Phone: 920-965-0606
Practice Fax: 920-965-0607

1104804012 — BAY AREA CHIROPRACTIC SC
Practice Location Address:

1441 BELLEVUE ST
GREEN BAY, WI
54311-5605

Practice Phone: 920-468-1963
Practice Fax: 920-468-9785

1164441580 — DEBRA L BENISHEK APNP
Practice Location Address:

1496 BELLEVUE ST , SUITE 101
GREEN BAY, WI
54311-4205

Practice Phone: 920-784-2644
Practice Fax: 920-784-2655

1750303350 — WISCONSIN CVS PHARMACY LLC
Practice Location Address:

2050 LIME KILN RD
BELLEVUE, WI
54311-6264

Practice Phone: 920-406-9049
Practice Fax: 920-593-9536

1629183918 — DR. LISA ANN WITZKE-FROST D.C.
Practice Location Address:

1496 BELLEVUE ST STE 501
GREEN BAY, WI
54311-4251

Practice Phone: 920-406-8861
Practice Fax: 920-406-8863

Directions to “COURTYARD AT BELLEVUE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.