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Organization
KINDRED THC NORTH SHORE, LLC
Active
Organization
KINDRED THC NORTH SHORE, LLC
Active
Other names
Kindred - Chicago - Lakeshore
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY TEAGUE (VICE PRESIDENT, CORPORATE SECRETARY)
(629) 253-5121
Entity
Organization
Contact information
Practice address
6130 N SHERIDAN RD, CHICAGO, IL 60660
(773) 381-1222
(773) 381-0280
Mailing address
6130 N SHERIDAN RD, CHICAGO, IL 60660-2830
(773) 381-1222
(773) 381-0280
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
4000014
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195
BLUE CROSS
ID
01
—
363915965
UNICARE
IL
05
—
363915965007
—
IL
Enumeration date
10/25/2006
Last updated
03/11/2024
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