Organization
GLEN ELSTON NURSING & REHABILITATION CENTRE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIDNEY GLENNER (PRESIDENT)
(847) 674-5454
Entity
Organization
Contact information
Practice address
4340 N KEYSTONE AVE, CHICAGO, IL 60641-2121
(773) 545-8700
(773) 545-9444
Mailing address
5454 FARGO AVE, SKOKIE, IL 60077-3210
(847) 674-5454
(847) 674-8311
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4861
IL
332B00000X
Durable Medical Equipment & Medical Supplies
—
IL
Other
Enumeration date
07/07/2005
Last updated
09/08/2014
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