Organization
PRESENCE SENIOR SERVICES CHICAGOLAND
Active
Other names
Ascension Living Resurrection Village Life Center
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN SHADBOLT (COO)
(314) 729-3500
Entity
Organization
Contact information
Practice address
7370 W TALCOTT AVE, CHICAGO, IL 60631-3751
(773) 594-7400
(773) 594-7402
Mailing address
7370 W TALCOTT AVE, CHICAGO, IL 60631-3751
(773) 594-7400
(773) 594-7402
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0044354
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1183
BLUE CROSS
—
Enumeration date
09/06/2005
Last updated
06/23/2025
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