Organization
WESTSHIRE NURSING AND REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK STEINBERG (CHIEF OPERATING OFFICER)
(847) 905-3000
Entity
Organization
Contact information
Practice address
5825 W CERMAK RD, CICERO, IL 60804-2134
(708) 656-9120
(708) 656-9128
Mailing address
5825 W CERMAK RD, CICERO, IL 60804-2134
(708) 656-9120
(708) 656-9128
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
0042325
IL
314000000X
Skilled Nursing Facility
Primary
0042325
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1025
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/20/2007
Last updated
04/20/2008
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