Organization · NPI-2
Alden Courts Of Shorewood, INC.
Skilled Nursing Facility · Chicago, IL
NPI number1770039075
StatusActive
Last updated in NPPESAug 28, 2016
Details
- NPI
- 1770039075
- Entity type
- Organization (NPI-2)
- Legal business name
- Alden Courts Of Shorewood, INC.
- Organization subpart
- No
- Enumeration date
- Aug 28, 2016
- Last updated
- Aug 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Practice location
4200 W. Peterson Ave.Suite 140
Chicago, IL 60646-6074
Phone 773-286-6622
Mailing address
700 W. Black Rd.Shorewood, IL 60404-8400
Phone 815-230-8700
Authorized official
John Avelino
Account Receivable Manager
7737246376
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