Organization
SHERMAN WEST COURT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH A MCMANUS (ADMINISTRATOR)
(847) 742-7070
Entity
Organization
Contact information
Practice address
1950 LARKIN AVE, ELGIN, IL 60123-5843
(847) 742-7070
(847) 742-7248
Mailing address
1950 LARKIN AVE, ELGIN, IL 60123-5843
(847) 742-7070
(847) 742-7248
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0037507
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0037507
IDPH LICENSE
IL
01
—
955
BLUE CROSS AND BLUE SHIEL
IL
Enumeration date
05/17/2006
Last updated
08/16/2011
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