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NPI Code Detail

MEDICARE: HIGHLAND PARK NURSING & REHAB CENTER LLC

MEDICARE: HIGHLAND PARK NURSING & REHAB 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
1332B00000XDurable Medical Equipment & Medical Supplies
2314000000XSkilled Nursing Facility0048330IL

General Provider Information

NPI Number : 1467559120
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIGHLAND PARK NURSING & REHAB CENTER LLC
Provider Business Mailing Address
First Line : 8131 MONTICELLO AVE
Second Line :
City : SKOKIE
State : IL
Zip : 60076-3325
Country : US
Telephone Number : 847-673-6767
Fax Number : 847-673-6768
Provider Business Practice Location Address
First Line : 50 PLEASANT AVE
Second Line :
City : HIGHWOOD
State : IL
Zip : 60040-1813
Country : US
Telephone Number : 847-432-9142
Fax Number : 847-432-4740
Authorized Official
Title or Position : MANAGER
Name : MR. YOSEF MEYSTEL
Credential :
Telephone Number : 847-673-6767
Provider Enumeration Date : 09/17/2006
Last Update Date : 09/10/2019

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Directions to “HIGHLAND PARK NURSING & REHAB CENTER LLC ” Practice Location

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