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NPI Code Detail

MEDICARE: ALBANY CARE, INC.

MEDICARE: ALBANY CARE, 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
1310500000XMental Illness Intermediate Care Facility0037762IL

General Provider Information

NPI Number : 1649275090
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALBANY CARE, INC.
Provider Business Mailing Address
First Line : 4100 W PRATT AVE
Second Line :
City : LINCOLNWOOD
State : IL
Zip : 60712-3517
Country : US
Telephone Number : 874-674-5200
Fax Number : 874-674-5267
Provider Business Practice Location Address
First Line : 901 MAPLE AVE
Second Line :
City : EVANSTON
State : IL
Zip : 60202-1717
Country : US
Telephone Number : 847-475-4000
Fax Number : 847-475-8316
Authorized Official
Title or Position : TREASURER
Name : MR. THOMAS WINTER
Credential : CPA
Telephone Number : 847-674-5200
Provider Enumeration Date : 06/14/2005
Last Update Date : 08/22/2020

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Directions to “ALBANY CARE, INC. ” Practice Location

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