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NPI Code Detail

MEDICARE: ALDEN-TOWN MANOR REHABILITATION AND HEALTH CARE CENTER, INC.

MEDICARE: ALDEN-TOWN MANOR REHABILITATION AND HEALTH CARE CENTER, 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
1314000000XSkilled Nursing Facility0038000IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11006OTHERILBLUE CROSS

General Provider Information

NPI Number : 1851388797
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALDEN-TOWN MANOR REHABILITATION AND HEALTH CARE CENTER, INC.
Provider Business Mailing Address
First Line : 4200 W PETERSON AVE
Second Line : SUITE 140
City : CHICAGO
State : IL
Zip : 60646-6074
Country : US
Telephone Number : 773-286-6622
Fax Number : 773-286-2150
Provider Business Practice Location Address
First Line : 6120 W OGDEN AVE
Second Line :
City : CICERO
State : IL
Zip : 60804-3743
Country : US
Telephone Number : 708-863-0500
Fax Number : 708-863-4893
Authorized Official
Title or Position : PRESIDENT
Name : FLOYD A SCHLOSSBERG
Credential :
Telephone Number : 773-286-6622
Provider Enumeration Date : 10/05/2005
Last Update Date : 08/22/2020

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Directions to “ALDEN-TOWN MANOR REHABILITATION AND HEALTH CARE CENTER, INC. ” Practice Location

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