Organization
LHCC OF BLOOMINGDALE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK LIU OTR (PROGRAM DIRECTOR)
(630) 980-8700
Entity
Organization
Contact information
Practice address
165 S BLOOMINGDALE RD, BLOOMINGDALE, IL 60108-1434
(630) 980-8700
(630) 529-1538
Mailing address
165 S BLOOMINGDALE RD, BLOOMINGDALE, IL 60108-1434
(630) 980-8700
(630) 529-1538
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
057000885
IL
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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