Organization
CRESTWOOD CARE CENTRE LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CHARLES BRAUN (CONTROLLER)
(847) 583-0100
Entity
Organization
Contact information
Practice address
14255 CICERO AVE, CRESTWOOD, IL 60445-2154
(708) 371-0400
(708) 371-5871
Mailing address
14255 CICERO AVE, CRESTWOOD, IL 60445-2154
(708) 371-0400
(708) 371-5871
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
44164
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44164
IDPH LICENSE NUMBER
IL
01
—
6002265
IDPH FACILITY NUMBER
IL
Enumeration date
12/20/2005
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us