MEDICARE: BOULEVARD CARE CENTER

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	314000000X	Skilled Nursing Facility	0032276	IL

General Provider Information

NPI Number	:	1194860577
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOULEVARD CARE CENTER

Provider Business Mailing Address
First Line	:	8320 SKOKIE BLVD
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60077-2545
Country	:	US
Telephone Number	:	847-329-1555
Fax Number	:

Provider Business Practice Location Address
First Line	:	3405 S MICHIGAN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60616-3819
Country	:	US
Telephone Number	:	312-791-0035
Fax Number	:

Authorized Official
Title or Position	:	CONTROLLER
Name	:	JENNIE SHAN-MARTIN
Credential	:
Telephone Number	:	847-329-1555

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1548356371 — D L WHITE PSYCHOLOGICAL SERVICES LTD
Practice Location Address:

3405 S MICHIGAN AVE
CHICAGO, IL
60616-3819

Practice Phone: 312-791-0035
Practice Fax: 312-791-0626

1548470545 — DR. DONALD L WHITE
Practice Location Address:

3405 S MICHIGAN AVE
CHICAGO, IL
60616-3819

Practice Phone: 773-791-0035
Practice Fax:

1437471075 — KENSINGTON PLACE NURSING AND REHABILITATION CENTER LLC
Practice Location Address:

3405 S MICHIGAN AVE
CHICAGO, IL
60616-3819

Practice Phone: 312-791-0035
Practice Fax: 312-791-0626

1336693704 — LESTER AND ROSALIE ANIXTER CENTER
Practice Location Address:

3405 S MICHIGAN AVE
CHICAGO, IL
60616-3819

Practice Phone: 312-791-0035
Practice Fax: 312-791-0626

1891700019 — WALGREEN CO
Practice Location Address:

3110 W ARMITAGE AVE
CHICAGO, IL
60647-3819

Practice Phone: 773-235-6758
Practice Fax: 773-235-1348

1245394345 — MS. CAROL LEE SCHICKEL LCPC
Practice Location Address:

1218 W ADDISON ST
CHICAGO, IL
60613-3819

Practice Phone: 312-909-9337
Practice Fax:

Directions to “BOULEVARD CARE CENTER ” 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.