Organization
JACKSON CORP
Active
Other names
JACKSON SQUARE NURSING & REHAB CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE RUDD (MEDICARE MANAGER)
(847) 745-6238
Entity
Organization
Contact information
Practice address
5130 W JACKSON BLVD, CHICAGO, IL 60644-4332
(773) 921-8000
(773) 921-3980
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
5074210001
IL
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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