NPI 1548609514

We

Organisation Long Term Care Hospital Chicago, IL

Practice location

Address: 4646 N Marine Dr, Chicago, IL 60640-5759
Phone: (773) 564-5313
Mailing address: 6025 N Hiawatha Ave, Chicago, IL 60646-5825

Authorised official

Name: Shehzad Ali
Title: Physician
Phone: (773) 564-5313

Registered specialties

Long Term Care Hospital Primary

Hospitals Taxonomy 282E00000X Licence 125062810 (IL)

Other Long Term Care Hospital providers in Illinois →

Registry record

NPI: 1548609514
Entity type: Organization
NPI issued: 22 Jun 2013
Record last updated: 22 Jun 2013

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.