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Contact Information

PRESENCE SENIOR SERVICES CHICAGOLAND
480 N WOLF RD
NORTHLAKE, IL60164
 Phone: 708-562-0040
 Fax: 708-562-5180
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for PRESENCE SENIOR SERVICES CHICAGOLAND

NPI Number 1023002318
LBN Legal business name PRESENCE SENIOR SERVICES CHICAGOLAND
Authorized official KELLIE GRONEFELD - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/01/2005
Last updated 07/22/2024 - More than a year ago
Identifiers
IL License # 0044792
Other 1201 BLUE CROSS
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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