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Contact Information

PINNACLE HEALTHCARE OF WAUKEGAN
2222 W 14TH STREET
WAUKEGAN, IL60085
 Phone: 847-249-2400
 Fax: 847-249-0536
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for PINNACLE HEALTHCARE OF WAUKEGAN

NPI # 1033290986
LBN Legal business name PINNACLE HEALTHCARE OF WAUKEGAN
Authorized official EDNA BROSAS - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
IL License # 0044453
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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