Organization
WINDSOR PARK NURSING
Active
Other names
Gensis
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ONUWA JULIET EJECHI COTA/L (OTA)
17733569300
Entity
Organization
Contact information
Practice address
2649 E 75TH ST, CHICAGO, IL 60649-3835
(773) 356-9300
Mailing address
2649 E 75TH ST, CHICAGO, IL 60649-3835
(773) 356-9300
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
057003496
IL
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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