Organization
COMMUNITY FIRST HEALTHCARE OF ILLINOIS, INC.
Active
Other names
Community First Medical Center Skilled Nursing Unit
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD JOSEPH GREEN (OWNER/LEGAL COUNSEL)
(312) 832-4375
Entity
Organization
Contact information
Practice address
5645 W ADDISON ST, CHICAGO, IL 60634-4403
(773) 282-7000
(773) 527-5900
Mailing address
5645 W ADDISON ST, CHICAGO, IL 60634-4403
(773) 282-7000
(773) 527-5900
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0001719
IL
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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