National Provider Identifier Database

WICKSHIRE WILMETTE OPCO LLC
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.


Contact Information

WICKSHIRE WILMETTE OPCO LLC
615 RIDGE RD
WILMETTE, IL60091
Phone: 841-256-1600
Fax:
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X
Alzheimer Center /Dementia Center/Dementia Special Care Unit 311500000X

* Indicates primary specialty

NPI Profile & details for WICKSHIRE WILMETTE OPCO LLC

NPI Number 1801403456
Legal business name
LBN
WICKSHIRE WILMETTE OPCO LLC
Authorized official DAN O'KEEFE - (CEO)
Entity Organization
Organization subpart No
Enumeration date 09/28/2020
Last updated 09/28/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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