Organization
CONCORD NURSING HOME, INC.
Active
Other names
Concord Extended Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK STEINBERG (CHIEF OPERATING OFFICER)
(847) 905-3000
Entity
Organization
Contact information
Practice address
9401 RIDGELAND AVE, OAK LAWN, IL 60453-2221
(708) 599-6700
(708) 599-6258
Mailing address
9401 RIDGELAND AVE, OAK LAWN, IL 60453-2221
(708) 599-6700
(708) 599-6258
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0026914
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1233
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/12/2007
Last updated
08/22/2020
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