# CHURCH STREET STATION NURSING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Claremont Hanover Park Outpatient
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871934240
- **Authorized official:** JAY FLATT (CFO)
- **Authorized official phone:** (847) 933-2600

## Contact information

- **Practice address:** 7257 N LINCOLN AVE, LINCOLNWOOD, IL 60712-1810
- **Practice address phone:** (847) 933-2600
- **Mailing address:** 7257 N LINCOLN AVE, LINCOLNWOOD, IL 60712-1810
- **Mailing address phone:** (847) 933-2600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/12/2013
- **Last updated:** 07/12/2013