Stockton Healthcare and Rehab Center Inc
Organization Active NPI Skilled Nursing Facility · Stockton, IL
NPI 1104110816 · NPPES record last updated May 31, 2011
Key facts
- NPI
- 1104110816
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 000051268 (IL)
- Legal business name
- STOCKTON HEALTHCARE AND REHAB CENTER INC
- Practice address
- 501 E Front Ave
Stockton, IL 61085-1444 - Phone
- (815) 947-2215
- Fax
- (815) 947-2561
- NPI assigned
- May 31, 2011
- Organization subpart
- No
Authorized official
- Name
- Joseph Brandman
- Title
- President
- Phone
- (773) 338-4400
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 000051268 | IL | Yes |
Addresses
Primary practice location
501 E Front Ave
Stockton, IL 61085-1444
Mailing address
501 E Front Ave
Stockton, IL 61085-1444
Phone (815) 947-2215
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- Stockton Healthcare and Rehab, Inc
- Christian G Triand
- Deedee M Wampfler
- Michael A Wampfler
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All providers in Stockton, IL · Skilled Nursing Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.