Organization
RESURRECTION SENIOR SERVICES
Active
Other names
Holy Family Nursing & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM CAPOBIANCO (EXECUTIVE VICE PRESIDENT FINANCE)
(847) 813-3707
Entity
Organization
Contact information
Practice address
2380 E DEMPSTER ST, DES PLAINES, IL 60016-4839
(847) 296-3335
(847) 296-2659
Mailing address
100 N RIVER RD, FINANCE DIVISION, 2ND FLOOR, DES PLAINES, IL 60016-1209
(847) 813-3722
(847) 813-3785
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0026286
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
789
BLUE CROSS
—
Enumeration date
09/01/2005
Last updated
04/20/2008
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