Laureate West Chicago Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LAUREATE WEST CHICAGO OPERATIONS LLC

Practice address

928 Joliet St
West Chicago, IL 60185-3725

Phone

(630) 231-9292

Fax

(630) 231-6796

NPI assigned

Jul 12, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Shaun Ahmad

Title

Manager

Phone

(704) 426-8849

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1174175830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13024 BALNTYN CORP PL STE 425",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774420",
            "telephone_number": "704-426-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 JOLIET ST",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601853725",
            "telephone_number": "630-231-9292",
            "fax_number": "630-231-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREATE WEST CHICAGO OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-426-8849",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in West Chicago, IL
• Providers in West Chicago, 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 Jul 12, 2019; 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.