Organization
CLARIDGE IMPERIAL, LTD
Active
Other names
THE IMPERIAL CONVALESCENCE & NURSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE RUDD (MEDICARE MANAGER)
(847) 745-6238
Entity
Organization
Contact information
Practice address
1366 W FULLERTON AVE, CHICAGO, IL 60614-2129
(773) 248-9300
(773) 935-0036
Mailing address
7257 N LINCOLN AVE, LINCOLNWOOD, IL 60712-1810
(847) 933-2600
(847) 933-0686
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IL
332BN1400X
Nursing Facility Supplies (DME)
0476000001
IL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0476000001
IL
Other
Enumeration date
11/13/2006
Last updated
04/20/2008
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