Chicagoland Methodist Senior Services

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1748898 Issued in IL

Legal business name

CHICAGOLAND METHODIST SENIOR SERVICES

Doing business as

Wesley Place

Practice address

1415 W Foster Ave
Chicago, IL 60640-2288

Phone

(773) 769-5500

Fax

(773) 769-6287

NPI assigned

Aug 30, 2006

Last updated

Jun 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Froilan Nunez

Title

Controller

Phone

(773) 596-2230

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WESLEY PLACE Doing business as

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1316057318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 W FOSTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402288",
            "telephone_number": "773-769-5500",
            "fax_number": "773-769-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 W FOSTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402288",
            "telephone_number": "773-769-5500",
            "fax_number": "773-769-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGOLAND METHODIST SENIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "FROILAN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "773-596-2230"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "1748898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1151",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESLEY PLACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chicagoland Family Care LLC
• Chicagoland Foot and Ankle PC
• Chicagoland Foot and Ankle, PC
• Chicagoland Home Birth
• Chicagoland Medical PC
• Chicagoland Physician Consortium, LLC
• Chicagoland Professional Therapy Group, Inc
• Chicagoland Psychologist, LLC
• Chicagoland Theraplay LLC
• Chicagoland University Pediatric Surgery, LLC

• Skilled Nursing Facility in Chicago, IL
• Providers in 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 Jun 17, 2024; 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.