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NPI Code Detail

MEDICARE: LEXINGTON HEALTH CARE CENTER OF STREAMWOOD, INC.

MEDICARE: LEXINGTON HEALTH CARE CENTER OF STREAMWOOD, 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
1332BP3500XParenteral & Enteral Nutrition Supplies (DME)0037002IL

General Provider Information

NPI Number : 1588788632
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEXINGTON HEALTH CARE CENTER OF STREAMWOOD, INC.
Provider Business Mailing Address
First Line : 665 W NORTH AVE
Second Line : SUITE 500
City : LOMBARD
State : IL
Zip : 60148-1134
Country : US
Telephone Number : 630-458-4700
Fax Number : 630-458-4770
Provider Business Practice Location Address
First Line : 815 E IRVING PARK RD
Second Line :
City : STREAMWOOD
State : IL
Zip : 60107-3073
Country : US
Telephone Number : 630-837-5300
Fax Number : 630-213-9076
Authorized Official
Title or Position : PRESIDENT
Name : MR. JOHN SAMATAS
Credential :
Telephone Number : 630-458-4700
Provider Enumeration Date : 03/16/2007
Last Update Date : 11/11/2008

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Directions to “LEXINGTON HEALTH CARE CENTER OF STREAMWOOD, INC. ” Practice Location

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