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NPI Code Detail

MEDICARE: FOREST EDGE HEALTHCARE & REHABILITATION CENTER, LP

MEDICARE: FOREST EDGE HEALTHCARE & REHABILITATION CENTER, LP
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 Facility

General Provider Information

NPI Number : 1215280045
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOREST EDGE HEALTHCARE & REHABILITATION CENTER, LP
Provider Business Mailing Address
First Line : 5151 CHURCH ST
Second Line :
City : SKOKIE
State : IL
Zip : 60077-1123
Country : US
Telephone Number : 847-933-9200
Fax Number : 847-933-9765
Provider Business Practice Location Address
First Line : 8001 S WESTERN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60620-5930
Country : US
Telephone Number : 773-436-6600
Fax Number : 773-471-1661
Authorized Official
Title or Position : CFO
Name : MR. AVRUM WEINFELD
Credential :
Telephone Number : 847-933-9200
Provider Enumeration Date : 10/17/2012
Last Update Date : 10/16/2024

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