Organization
GLENLAKE TERRACE NURSING & REHABILITATION CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE F ALLEN (CHIEF FINANCIAL OFFICER)
(847) 674-5454
Entity
Organization
Contact information
Practice address
2222 14TH ST, WAUKEGAN, IL 60085-7708
(847) 249-2400
(847) 249-0536
Mailing address
5454 FARGO AVE, SKOKIE, IL 60077-3210
(847) 674-5454
(847) 674-8311
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
—
IL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Enumeration date
08/15/2014
Last updated
03/17/2015
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