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Organization

WEST SUBURBAN NURSING AND REHABILITATION CENTER, LLC

Active
Other names
West Suburban Nursing and Rehabilitation Center
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL BLISKO (DIRECT OWNER)
(708) 449-1900
Entity
Organization

Contact information

Practice address
311 EDGEWATER DR, BLOOMINGDALE, IL 60108-1979
(630) 894-7400
(630) 894-8528
Mailing address
311 EDGEWATER DR, BLOOMINGDALE, IL 60108-1979
(630) 894-7400
(630) 894-8528

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
0048165
IL
314000000X
Skilled Nursing Facility
Primary
2162045
IL

Other

Enumeration date
12/13/2007
Last updated
06/23/2014
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