Sheltering Oak

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

License

001 Issued in IL

Legal business name

SHELTERING OAK

Practice address

27888 N Beech St
Island Lake, IL 60042-8402

Phone

(847) 526-3636

Fax

(847) 526-9702

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Leonard Pesz

Title

General Manager

Phone

(847) 526-8865

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285759795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "address_2": "27888 N BEECH",
            "city": "ISLAND LAKE",
            "state": "IL",
            "postal_code": "600420367",
            "telephone_number": "847-526-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27888 N BEECH ST",
            "city": "ISLAND LAKE",
            "state": "IL",
            "postal_code": "600428402",
            "telephone_number": "847-526-3636",
            "fax_number": "847-526-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTERING OAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PESZ",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "847-526-8865",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "IL",
            "license": "001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDS FACILITY ID KEY",
            "identifier": "IL6008585",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL NUMBER",
            "identifier": "14E242",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Brian Francis Sherwin, D.D.S.
• Paulina Stephens, PSY D
• Marcia Suelzer, L.P.C.
• Amy Elizabeth Toczyski
• Jennifer Valice, LCSW

• All providers in Island Lake, IL
• Mental Illness Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.