NPI 1407669674

Bayside Care Center LP

Organisation Mental Illness Intermediate Care Facility Waukegan, IL

Practice location

Address: 1100 S Lewis Ave, Waukegan, IL 60085-7710
Phone: (847) 244-8196
Mailing address: 5151 Church St, Skokie, IL 60077-1123

Authorised official

Name: Kim M Boulton
Title: Contract Coordinator
Phone: (847) 933-9200

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X

Other Intermediate Care Facility, Mental Illness providers in Illinois →

Registry record

NPI: 1407669674
Entity type: Organization
NPI issued: 30 Jan 2025
Record last updated: 30 Jan 2025

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.