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Organization
KINDRED CHICAGO NORTHLAKE, LLC
Active
Organization
KINDRED CHICAGO NORTHLAKE, LLC
Active
Other names
Kindred Hospital - Chicago (North Campus)
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY TEAGUE (VICE PRESIDENT, CORPORATE SECRETARY)
(629) 253-5121
Entity
Organization
Contact information
Practice address
2544 W MONTROSE AVE, CHICAGO, IL 60618-1537
(773) 267-2622
(773) 267-2685
Mailing address
2544 W MONTROSE AVE, CHICAGO, IL 60618-1537
(773) 267-2622
(773) 267-2685
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
—
—
282E00000X
Long Term Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006221
STATE LICENSE
IL
Enumeration date
09/22/2020
Last updated
03/11/2024
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