Organization
TRI-STATE NURSING & REHABILITATION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK STEINBERG (CHIEF OPERATING OFFICER)
(847) 905-3000
Entity
Organization
Contact information
Practice address
2500 175TH ST, LANSING, IL 60438-1801
(708) 474-7330
(708) 474-7391
Mailing address
2500 175TH ST, LANSING, IL 60438-1801
(708) 474-7330
(708) 474-7391
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0041186
IL
314000000X
Skilled Nursing Facility
0041186
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1230
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/20/2007
Last updated
12/11/2009
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