Organization
WINFIELD WOODS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN SIMONSEN (EXECUTIVE DIRECTOR)
(630) 668-9696
Entity
Organization
Contact information
Practice address
28W141 LIBERTY ST, WINFIELD, IL 60190-1955
(630) 668-9696
(630) 668-7078
Mailing address
28W141 LIBERTY ST, WINFIELD, IL 60190-1955
(630) 668-9696
(630) 668-7078
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
364103122001
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364103122001
—
IL
Enumeration date
05/16/2006
Last updated
08/22/2020
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