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Contact Information

SUSAN IVERSON, OTRL
1582 ARBOR AVE
HIGHLAND PARK, IL60035
 Phone: 847-845-7206
 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 Number 1477807881
Entity Organization
Organization subpart 1 Not specified
Enumeration date 11/07/2012
Last updated 11/07/2012 - About 14 years ago
Identifiers
IL License # 056000638
IL Other 225X00000X OT
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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