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NPI Code Detail

MEDICARE: NEXUS AT WOOD RIVER, LLC

MEDICARE: NEXUS AT WOOD RIVER, 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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1639051741
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEXUS AT WOOD RIVER, LLC
Provider Business Mailing Address
First Line : 5151 CHURCH ST
Second Line :
City : SKOKIE
State : IL
Zip : 60077-1123
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 393 E EDWARDSVILLE RD
Second Line :
City : WOOD RIVER
State : IL
Zip : 62095-1646
Country : US
Telephone Number : 618-259-4111
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : YEHUDA SUSSMAN
Credential :
Telephone Number : 847-745-6946
Provider Enumeration Date : 07/22/2025
Last Update Date : 10/16/2025

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Directions to “NEXUS AT WOOD RIVER, LLC ” Practice Location

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