Organization
SHERIDAN SHORES CARE & REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK STEINBERG (CHIEF OPERATING OFFICER)
(847) 905-3000
Entity
Organization
Contact information
Practice address
5838 N SHERIDAN RD, CHICAGO, IL 60660-4916
(773) 769-2230
(773) 769-3579
Mailing address
5838 N SHERIDAN RD, CHICAGO, IL 60660-4916
(773) 769-2230
(773) 769-3579
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
0040444
IL
314000000X
Skilled Nursing Facility
Primary
0040444
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1129
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/20/2007
Last updated
04/20/2008
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