Gilman Nursing Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0044263 Issued in IL

Legal business name

GILMAN NURSING CENTER, LLC

Practice address

1390 S Crescent
Route 45 South
Gilman, IL 60938

Phone

(815) 265-7208

Fax

(815) 265-0345

NPI assigned

Dec 28, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Morris Steinberg

Title

Manager Member LLC

Phone

(847) 831-0201

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gilman Nursing Home Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1104803394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 597523",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606597523",
            "telephone_number": "847-831-0201",
            "fax_number": "847-831-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S CRESCENT",
            "address_2": "ROUTE 45 SOUTH",
            "city": "GILMAN",
            "state": "IL",
            "postal_code": "60938",
            "telephone_number": "815-265-7208",
            "fax_number": "815-265-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILMAN NURSING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "STEINBERG",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_title_or_position": "MANAGER MEMBER LLC",
        "authorized_official_telephone_number": "847-831-0201",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0044263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364264598001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gilman Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Nicole Bollino, PTA
• Compass Health Systems of Illinois, Inc
• Naran P Dodia, MD
• Nicole Lynn Fatka
• Gilman Healthcare Center, LLC
• Gilman Pharmacy LLC
• Shannon Haggard, NP
• Heartland Banyan, LLC
• Highland Park CVS LLC
• Iroquois Memorial Hospital and Resident Home

• Skilled Nursing Facility in Gilman, IL
• Providers in Gilman, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.