Organization
LAKEVIEW NURSING AND REHABILITATION CENTRE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM BOREK (PRESIDENT 50 PERCENT OWNER)
(847) 256-7600
Entity
Organization
Contact information
Practice address
735 WEST DIVERSEY PARKWAY, CHICAGO, IL 60614-2337
(773) 348-4055
(773) 348-6259
Mailing address
735 WEST DIVERSEY PARKWAY, CHICAGO, IL 60614-2337
(773) 348-4055
(773) 348-6259
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1764042
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
959
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/08/2006
Last updated
04/20/2008
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