Organization
RESURRECTION SENIOR SERVICES
Active
Other names
St Francis Nursing & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM CAPOBIANCO (EXECUTIVE VICE PRESIDENT FINANCE)
(773) 792-7925
Entity
Organization
Contact information
Practice address
500 ASBURY AVE, EVANSTON, IL 60202-2724
(847) 316-3322
(847) 316-3337
Mailing address
7435 W TALCOTT AVE, PROFESSIONAL BULIDING STE 340, CHICAGO, IL 60631-3707
(773) 594-7837
(773) 594-8567
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0044370
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5410
BLUE CROSS
—
Enumeration date
09/01/2005
Last updated
08/22/2020
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