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Contact Information

KINDRED CHICAGO NORTHLAKE, LLC
365 E NORTH AVE
NORTHLAKE, IL60164-2628
 Phone: 708-345-8100
 Fax: 708-345-0470
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Hospital

282E00000X A0[7] Hospital-Long-Term (PPS excluded)
Indicates primary specialty

NPI Profile & details for KINDRED CHICAGO NORTHLAKE, LLC

NPI Number 1508472804
LBN Legal business name KINDRED CHICAGO NORTHLAKE, LLC
Authorized official KATHY TEAGUE - (VICE PRESIDENT, CORPORATE SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 09/22/2020
Last updated 03/11/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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