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NPI Code Detail

MEDICARE: AUSTIN OASIS, LLC

MEDICARE: AUSTIN OASIS, 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 : 1851873459
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUSTIN OASIS, LLC
Provider Business Mailing Address
First Line : 8131 MONTICELLO AVE
Second Line :
City : SKOKIE
State : IL
Zip : 60076-3325
Country : US
Telephone Number : 773-945-1000
Fax Number :
Provider Business Practice Location Address
First Line : 901 S AUSTIN BLVD
Second Line :
City : CHICAGO
State : IL
Zip : 60644-5311
Country : US
Telephone Number : 773-287-5959
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : SHIMON WEBSTER
Credential :
Telephone Number : 773-945-1000
Provider Enumeration Date : 08/30/2018
Last Update Date : 11/27/2018

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