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Contact Information

WENTWORTH REHABILITATION AND HEALTH CARE CENTER, INC.
201 W 69TH ST
CHICAGO, IL60621-3719
 Phone: 773-487-1200
 Fax: 773-487-4782
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for WENTWORTH REHABILITATION AND HEALTH CARE CENTER, INC.

NPI # 1942297775
LBN Legal business name WENTWORTH REHABILITATION AND HEALTH CARE CENTER, INC.
Authorized official JOHN AVELINO - (ACCOUNTS RECIEVABLE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/06/2005
Last updated 05/10/2019 - About 7 years ago
Identifiers
IL License # 0026435
IL Other 1005 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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