Organization
BERWYN RESPIRATORY & REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM BOULTON (CONTRACT COORDINATOR)
(847) 786-9559
Entity
Organization
Contact information
Practice address
3601 S HARLEM AVE, BERWYN, IL 60402-3219
(708) 749-4160
Mailing address
5151 CHURCH ST, SKOKIE, IL 60077-1123
(847) 933-9200
(847) 933-9765
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
12/03/2024
Last updated
12/05/2024
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