MEDICARE: RREM INC

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	313M00000X	Nursing Facility/Intermediate Care Facility	000035782	IL

General Provider Information

NPI Number	:	1497759914
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RREM INC

Provider Business Mailing Address
First Line	:	6500 N HAMLIN AVE
Second Line	:
City	:	LINCOLNWOOD
State	:	IL
Zip	:	60712-3904
Country	:	US
Telephone Number	:	847-678-7484
Fax Number	:	847-679-7494

Provider Business Practice Location Address
First Line	:	2155 W PIERCE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622
Country	:	US
Telephone Number	:	773-252-2066
Fax Number	:	773-252-4122

Authorized Official
Title or Position	:	BOOKKEEPER
Name	:	MR. DAVID LUBOWSKY
Credential	:
Telephone Number	:	847-679-7484

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	08/08/2019

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Directions to “RREM INC ” Practice Location

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