Organization
THI OF ILLINOIS AT BRENTWOOD, LLC
Active
Other names
Brentwood Sub-Acute Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN MITCHELL (PRESIDENT)
(708) 423-1200
Entity
Organization
Contact information
Practice address
5400 W 87TH ST, BURBANK, IL 60459-2913
(708) 423-1200
Mailing address
930 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
(410) 773-1321
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0046466
IL
Other
Enumeration date
07/20/2006
Last updated
01/03/2008
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