Organization
DEKALB COUNTY GOVERNMENT
Active
Parent organization
DEKALB COUNTY GOVERNMENT
Other names
DeKalb County Rehab & Nursing Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEKALB COUNTY GOVERNMENT
Authorized official
CHERYL VITTORIO (ADMINISTRATOR)
(815) 217-0303
Entity
Organization
Contact information
Practice address
2600 N ANNIE GLIDDEN RD, DEKALB, IL 60115-1207
(815) 217-0310
(815) 217-0451
Mailing address
2600 N ANNIE GLIDDEN RD, DEKALB, IL 60115-1207
(815) 217-0310
(815) 217-0451
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023011798
TIN
IL
Enumeration date
08/13/2019
Last updated
08/13/2019
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