Organization
WHEATON CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE ZIMMERMAN (CEO)
(847) 905-4000
Entity
Organization
Contact information
Practice address
1325 MANCHESTER RD, WHEATON, IL 60187-4760
(630) 668-2500
(630) 668-0232
Mailing address
1325 MANCHESTER RD, WHEATON, IL 60187-4760
(630) 668-2500
(630) 668-0232
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0039115
IL
314000000X
Skilled Nursing Facility
0039115
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1066
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/20/2007
Last updated
03/03/2010
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