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NPI Code Detail

MEDICARE: SHERWIN MANOR NURSING CENTER, LLC

MEDICARE: SHERWIN MANOR NURSING CENTER, 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 Facility0046102IL
2313M00000XNursing Facility/Intermediate Care Facility0046102IL

General Provider Information

NPI Number : 1861490369
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHERWIN MANOR NURSING CENTER, LLC
Provider Business Mailing Address
First Line : 7350 N SHERIDAN RD
Second Line :
City : CHICAGO
State : IL
Zip : 60626-2017
Country : US
Telephone Number : 773-274-1700
Fax Number : 773-274-0152
Provider Business Practice Location Address
First Line : 7350 N SHERIDAN RD
Second Line :
City : CHICAGO
State : IL
Zip : 60626-2017
Country : US
Telephone Number : 773-274-1700
Fax Number : 773-274-0152
Authorized Official
Title or Position : ASSISTANT ADMINISTRATOR
Name : MR. ABE OSINA
Credential :
Telephone Number : 773-274-1700
Provider Enumeration Date : 07/08/2005
Last Update Date : 09/11/2025

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Directions to “SHERWIN MANOR NURSING CENTER, LLC ” Practice Location

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