Organization
GENERATIONS AT LINCOLN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS WINTER (CFO)
(847) 674-5200
Entity
Organization
Contact information
Practice address
2202 N KICKAPOO ST, LINCOLN, IL 62656-1306
(217) 735-1538
(217) 732-4818
Mailing address
6840 N LINCOLN AVE, LINCOLNWOOD, IL 60712-2628
(847) 674-5200
(847) 675-0555
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IL
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
823617601001
—
IL
Enumeration date
01/09/2018
Last updated
01/09/2018
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