Organization
COMMUNITY FIRST HEALTHCARE OF ILLINOIS, INC
Active
Parent organization
COMMUNITY FIRST MEDICAL CENTER
Other names
COMMUNITY FIRST MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY FIRST MEDICAL CENTER
Authorized official
JIM SYKES (INTERIM CFO)
(773) 794-8320
Entity
Organization
Contact information
Practice address
5645 W ADDISON ST, CHICAGO, IL 60634-4403
(773) 282-7000
Mailing address
5645 WEST ADDISON, CHICAGO, IL 60634
(773) 282-7000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0001719
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0911
BLUE CROSS OF IL SNF
IL
Enumeration date
09/13/2006
Last updated
02/18/2015
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