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Organization

NORWOOD CROSSING ASSOCIATION

Active
Other names
Norwood Crossing
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GAIL ANN PRETE (CFO)
(773) 577-5325
Entity
Organization

Contact information

Practice address
6016 N NINA AVE, CHICAGO, IL 60631-2439
(773) 631-4856
(773) 631-4850
Mailing address
6016 N NINA AVE, CHICAGO, IL 60631-2439
(773) 631-4856
(773) 631-4850

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
0012237
IL
314000000X
Skilled Nursing Facility
Primary
0012237
IL
314000000X
Skilled Nursing Facility
1761603
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1605397
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/04/2005
Last updated
05/18/2010
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