Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
JACKSON SQUARE SKILLED NURSING AAND LIVING
Active
Organization
JACKSON SQUARE SKILLED NURSING AAND LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REUVEN LEVITIN (PATIENT ACCOUNTS MANAGER)
(847) 745-6240
Entity
Organization
Contact information
Practice address
5130 W JACKSON BLVD, CHICAGO, IL 60644-4332
(773) 921-8000
(773) 921-3980
Mailing address
7257 N LINCOLN AVE, LINCOLNWOOD, IL 60712-1810
(847) 933-2600
(847) 933-2601
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0039834
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740351972
NPI
—
Enumeration date
06/22/2009
Last updated
06/22/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up