NPI 1013403195

Sedgebrook Opco Sl-Vii LLC

Organisation Skilled Nursing Facility Lincolnshire, IL

Practice location

Address: 960 Audubon Way, Lincolnshire, IL 60069-3886
Phone: (847) 901-3319
Fax: (847) 876-2403

Authorised official

Name: David a Reis
Title: Authorized Official
Phone: (203) 222-6262

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

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Registry record

NPI: 1013403195
Entity type: Organization
NPI issued: 2 Jul 2018
Record last updated: 28 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.