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Contact Information

DEBORAH A CASTANEDA
12350 NATCHEZ AVE.
PALOS HEIGHTS, IL60463
 Phone: 708-715-8065
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for

NPI # 1225410848
Entity Organization
Organization subpart 1 Not specified
Enumeration date 06/19/2015
Last updated 06/19/2015 - About 11 years ago
Identifiers
IL License # 057.003076
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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