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CHURCH STREET STATION NURSING NPI 1871934240


NPI Information

NPI: 1871934240
Provider Name: CHURCH STREET STATION NURSING

Doing Business As: CLAREMONT HANOVER PARK OUTPATIENT

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
7257 N LINCOLN AVE
LINCOLNWOOD, IL
ZIP 60712
Phone: (847) 933-2600
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CHURCH STREET STATION NURSING is a rehabilitation clinic center in Lincolnwood, IL. CHURCH STREET STATION NURSING NPI is 1871934240. The provider is registered as an organization entity type.
The provider Is Doing Business As Claremont Hanover Park Outpatient.

The provider's business location address is:

7257 N LINCOLN AVE
LINCOLNWOOD, IL
ZIP 60712-810
Phone: (847) 933-2600

The provider's authorized official is Jay Flatt .
The authorized official title is Cfo and has the following contact phone number (847) 933-2600.

The enumeration date for this NPI number is 7/12/2013 and was last updated on 7/12/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0400XClinic/CenterRehabilitationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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