Organization
LAKEWOOD NURSING AND REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEVI ISRAEL (CEO)
(847) 905-3000
Entity
Organization
Contact information
Practice address
14718 S EASTERN AVE, PLAINFIELD, IL 60544-8870
(815) 436-3400
(815) 436-8394
Mailing address
2201 MAIN ST, EVANSTON, IL 60202-1519
(847) 905-3000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0046169
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50212
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/20/2007
Last updated
08/11/2025
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