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NPI Code Detail

MEDICARE: UPTOWN CARE CENTER LLC

MEDICARE: UPTOWN CARE 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 FacilityIL

General Provider Information

NPI Number : 1184163826
Entity Type Code : Organization
Provider Name (Legal Business Name) : UPTOWN CARE CENTER LLC
Provider Business Mailing Address
First Line : 4920 N KENMORE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60640-3710
Country : US
Telephone Number : 773-769-2700
Fax Number : 773-769-3226
Provider Business Practice Location Address
First Line : 4920 N KENMORE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60640-3710
Country : US
Telephone Number : 773-769-2700
Fax Number : 773-769-3226
Authorized Official
Title or Position : ATTORNEY
Name : MS. FRANCES MEEHAN
Credential : ESQ
Telephone Number : 312-521-2467
Provider Enumeration Date : 02/14/2017
Last Update Date : 02/14/2017

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Directions to “UPTOWN CARE CENTER LLC ” Practice Location

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