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NPI Code Detail

MEDICARE: GENERATIONS AT OAKTON PAVILLION, LLC

MEDICARE: GENERATIONS AT OAKTON PAVILLION, 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

General Provider Information

NPI Number : 1588391114
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENERATIONS AT OAKTON PAVILLION, LLC
Provider Business Mailing Address
First Line : 1660 OAKTON PL
Second Line :
City : DES PLAINES
State : IL
Zip : 60018-2045
Country : US
Telephone Number : 847-299-5588
Fax Number : 847-493-6525
Provider Business Practice Location Address
First Line : 1660 OAKTON PL
Second Line :
City : DES PLAINES
State : IL
Zip : 60018-2045
Country : US
Telephone Number : 847-299-5588
Fax Number : 847-493-6525
Authorized Official
Title or Position : CFO
Name : MR. THOMAS WINTER
Credential :
Telephone Number : 847-674-5200
Provider Enumeration Date : 08/03/2022
Last Update Date : 08/03/2022

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Directions to “GENERATIONS AT OAKTON PAVILLION, LLC ” Practice Location

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