KINDRED CHICAGO NORTHLAKE, LLC (NPI# 1508472804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508472804 |
| Entity Type | Organization |
| Organization Name | KINDRED CHICAGO NORTHLAKE, LLC |
| Practice Address |
365 E North Ave Northlake IL 60164-2628 |
| Practice Telephone | 7083458100 |
| Practice Fax Number | 7083450470 |
| Mailing Telephone | 7083458100 |
| Mailing Fax Number | 7083450470 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | TERRANCE K DILLON (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 5025967220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Kindred Hospital - Chicago (Northlake Campus) | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604125 | Kindred Chicago Northlake, LLC | Long Term Care Hospital | 2544 W Montrose Ave, Chicago, IL 60618-1537 | 2020-09-22 |
| Street Address |
365 E NORTH AVE |
| City | NORTHLAKE |
| State | IL |
| Zip Code | 60164-2628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407875180 | M Maher Najjar | Internal Medicine | 365 E North Ave, Northlake, IL 60164-2628 | 2006-07-19 |
| 1225320567 | Kindred Healthcare Operating, Inc | Hospitalist | 365 E North Ave, Northlake, IL 60164-2628 | 2011-05-04 |
| 1598094906 | Knd Development 59 LLC | Hospitalist | 365 E North Ave, Northlake, IL 60164-2628 | 2009-12-14 |
| 1679658132 | Kindred Thc Chicago, LLC | Long Term Care Hospital | 365 E North Ave, Northlake, IL 60164 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625892 | Bazartogtokh Bayar | Technician | 2248 Calwagner Ave, Melrose Park, IL 60164 | 2019-08-22 |
| 1669809752 | Murry W Randell | Dentist | 338 E North Av, Northlake, IL 60164 | 2013-10-03 |
| 1023002318 | Presence Senior Services Chicagoland | Skilled Nursing Facility | 480 N Wolf Rd, North Lake, IL 60164 | 2005-09-01 |
| 1912165325 | Northlake Dental Clinic PC | Dentist | 161 E North Ave, Northlake, IL 60164 | 2008-06-02 |
| 1932584059 | Vishali Banathia | Pharmacist | 2912 Marion Ave, Melrose Park, IL 60164-1002 | 2015-07-30 |
| 1821546938 | Anoop Banathia | Registered Nurse | 2912 Marion Ave, Melrose Park, IL 60164-1002 | 2016-09-18 |
| 1356596670 | Monica Saavedra-kulousek | Psychologist | 916 N Prater Ave, Melrose Park, IL 60164-1111 | 2008-12-01 |
| 1851644249 | Anjelica Sierra | Speech-Language Pathologist | 2944 Haber Ave, Melrose Park, IL 60164-1132 | 2012-10-22 |
| 1174910632 | Ellen Locke | Social Worker | 1000 N Wolf Rd, Northlake, IL 60164-1438 | 2015-04-22 |
| 1326208927 | Recovercare, LLC | Durable Medical Equipment & Medical Supplies | 150 N Railroad Ave, Northlake, IL 60164-1607 | 2008-06-17 |
| Find all providers in zip 60164 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679658132 | Kindred Thc Chicago, LLC | Long Term Care Hospital | 365 E North Ave, Northlake, IL 60164 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578720041 | Maryville Academy | Long Term Care Hospital | 4015 N Oak Park Ave Bldg B, Chicago, IL 60634-7197 | 2008-05-21 |
| 1861664013 | Pioneer Gardens Senior Housing Lp | Long Term Care Hospital | 3800 S King Dr, Chicago, IL 60653-1785 | 2008-03-27 |
| 1780769257 | Kindred Thc Chicago, LLC | Long Term Care Hospital | 225 Edward St, Sycamore, IL 60178 | 2006-10-25 |
| 1578648028 | Kindred Thc Chicago, LLC | Long Term Care Hospital | 4058 W Melrose St, Chicago, IL 60641 | 2006-10-25 |
| 1023192572 | Lynda Kerstin De La Cotera | Long Term Care Hospital | 211 Franklin Ave, River Forest, IL 60305-2115 | 2006-10-24 |
| 1447204375 | Genesis Health System | Long Term Care Hospital | 1455 Hospital Rd, Silvis, IL 61282-1834 | 2006-05-22 |
| 1952304826 | Rml Health Providers Limited Partnership | Long Term Care Hospital | 5601 South County Line Road, Hinsdale, IL 60521 | 2005-05-24 |
| 1821604125 | Kindred Chicago Northlake, LLC | Long Term Care Hospital | 2544 W Montrose Ave, Chicago, IL 60618-1537 | 2020-09-22 |
| 1700492014 | Kindred Thc North Shore, LLC | Long Term Care Hospital | 4058 W Melrose St, Chicago, IL 60641-4799 | 2020-09-22 |
| 1881200178 | Kindred Sycamore, LLC | Long Term Care Hospital | 225 Edward St, Sycamore, IL 60178-2137 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.