| NPI | 1740351972 |
|---|---|
| Doing Business As | JACKSON SQUARE NURSING & REHAB CENTER |
| Entity Type | Organization |
| Authorized Contact | REUVEN LEVITIN Patient Accounts Manager 847-745-6240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: IL 5074210001) |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: IL 5074210001) | |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2009-09-09 |