Organization
CHURCH STREET STATION NURSING
Active
Other names
Claremont Hanover Park Outpatient
Organization subpart
No
Provider details
NPI number
Authorized official
JAY FLATT (CFO)
(847) 933-2600
Entity
Organization
Contact information
Practice address
7257 N LINCOLN AVE, LINCOLNWOOD, IL 60712-1810
(847) 933-2600
Mailing address
7257 N LINCOLN AVE, LINCOLNWOOD, IL 60712-1810
(847) 933-2600
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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