Organization
GENESIS HEALTH SYSTEM
Active
Other names
ILLINI RESTORATIVE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MOORE (CEO)
(309) 281-3272
Entity
Organization
Contact information
Practice address
1455 HOSPITAL RD, SILVIS, IL 61282-1834
(309) 281-3272
(309) 281-3269
Mailing address
1455 HOSPITAL RD, SILVIS, IL 61282-1834
(309) 281-3272
(309) 281-3269
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
—
IL
314000000X
Skilled Nursing Facility
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0973
ILLINOIS BLUE CROSS
IL
01
—
A6128206
JOHN DEERE HEALTHCARE
—
Enumeration date
05/22/2006
Last updated
07/21/2022
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