Organization
REGAL HEALTH AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EARL E VAN DUSEN (ADMINISTRATOR)
(708) 636-7000
Entity
Organization
Contact information
Practice address
9525 MAYFIELD AVE, OAK LAWN, IL 60453-2817
(708) 636-7000
(708) 422-3520
Mailing address
9525 MAYFIELD AVE, OAK LAWN, IL 60453-2817
(708) 636-7000
(708) 422-3520
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0038091
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038091
STATE LICENSE
IL
Enumeration date
05/01/2006
Last updated
02/27/2009
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