MEDICARE: JACKSON SQUARE SKILLED NURSING AAND LIVING

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	332BX2000X	Oxygen Equipment & Supplies (DME)	0039834	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1740351972	OTHER		NPI

General Provider Information

NPI Number	:	1356578900
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JACKSON SQUARE SKILLED NURSING AAND LIVING

Provider Business Mailing Address
First Line	:	7257 N LINCOLN AVE
Second Line	:
City	:	LINCOLNWOOD
State	:	IL
Zip	:	60712-1810
Country	:	US
Telephone Number	:	847-933-2600
Fax Number	:	847-933-2601

Provider Business Practice Location Address
First Line	:	5130 W JACKSON BLVD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60644-4332
Country	:	US
Telephone Number	:	773-921-8000
Fax Number	:	773-921-3980

Authorized Official
Title or Position	:	PATIENT ACCOUNTS MANAGER
Name	:	REUVEN LEVITIN
Credential	:
Telephone Number	:	847-745-6240

Provider Enumeration Date	:	06/22/2009
Last Update Date	:	06/22/2009

Similar Medicare Providers

1053481176 — LEONARD STALLINGS MD & ASSOCIATES
Practice Location Address:

5120 W JACKSON BLVD
CHICAGO, IL
60644-4332

Practice Phone: 773-265-4566
Practice Fax: 773-265-4576

1740351972 — JACKSON CORP
Practice Location Address:

5130 W JACKSON BLVD
CHICAGO, IL
60644-4332

Practice Phone: 773-921-8000
Practice Fax: 773-921-3980

1386707743 — CIRCLE FAMILY CARE
Practice Location Address:

5120 W JACKSON
CHICAGO, IL
60644-4332

Practice Phone: 773-378-3900
Practice Fax: 773-378-2602

1447304431 — DORIS SHUWEN HUANG FNP
Practice Location Address:

5130 W JACKSON BLVD
CHICAGO, IL
60644-4332

Practice Phone: 773-921-8000
Practice Fax:

1255592234 — GREEN HEALTHCARE LTD.
Practice Location Address:

5130 W JACKSON BLVD
CHICAGO, IL
60644-4332

Practice Phone: 773-921-8000
Practice Fax:

1588816623 — JACKSON CORP
Practice Location Address:

5130 W JACKSON BLVD
CHICAGO, IL
60644-4332

Practice Phone: 773-921-8000
Practice Fax: 773-921-3980

Directions to “JACKSON SQUARE SKILLED NURSING AAND LIVING ” 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.