Organization
DEKALB COUNTY GOVERNMENT
Active
Other names
Dekalb County Rehab and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BART J BECKER (ADMINISTRATOR)
(815) 758-2477
Entity
Organization
Contact information
Practice address
2600 N ANNIE GLIDDEN RD, DEKALB, IL 60115-1207
(815) 758-2477
(815) 217-0451
Mailing address
2600 N ANNIE GLIDDEN RD, DEKALB, IL 60115-1207
(815) 758-2477
(815) 217-0451
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0044321
IL
332BX2000X
Oxygen Equipment & Supplies (DME)
0044321
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0044321
IL DEPT. OF PUBLIC HEALTH
IL
Enumeration date
05/24/2005
Last updated
10/11/2024
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