Organization
SOUTHSHORE CARE CENTER, LLC
Active
Other names
South Shore Nursing & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARK STEINBERG (CHIEF OPERATNG OFFICER)
(847) 905-3000
Entity
Organization
Contact information
Practice address
2649 E 75TH ST, CHICAGO, IL 60649-3835
(773) 356-9300
(773) 356-9384
Mailing address
2649 E 75TH ST, CHICAGO, IL 60649-3835
(773) 356-9300
(773) 356-9384
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0042119
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1193
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/20/2007
Last updated
08/22/2020
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