Organization
BM OF CHICAGO RIDGE LLC
Active
Other names
Chicago Ridge Nursing
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LUBOWSKY (BOOKKEEPER)
(847) 679-7484
Entity
Organization
Contact information
Practice address
10602 SOUTHWEST HWY, CHICAGO RIDGE, IL 60415-1429
(708) 448-1540
Mailing address
6500 N HAMLIN AVE, LINCOLNWOOD, IL 60712-3904
(847) 679-7484
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
—
IL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
11/04/2008
Last updated
08/08/2019
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