Organization
WAUCONDA HEALTHCARE & REHABILITATION CENTRE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER VICERE (V.P. FINANCE)
(773) 604-4416
Entity
Organization
Contact information
Practice address
176 THOMAS CT, WAUCONDA, IL 60084-2451
(847) 526-5551
(847) 526-7549
Mailing address
176 THOMAS CT, WAUCONDA, IL 60084-2451
(847) 526-5551
(847) 526-7549
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
000044859
IL
Other
Enumeration date
09/21/2005
Last updated
04/20/2008
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