Organization Active NPI

Paramount of Oak Park Rehabilitation & Nursing Center LLC

  • Skilled Nursing Facility
  • Oak Park, IL
National Provider Identifier
1366781502
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PARAMOUNT OF OAK PARK REHABILITATION & NURSING CENTER LLC
Practice address
625 N Harlem Ave
Oak Park, IL 60302-1805
Phone
(708) 848-5966
Fax
(708) 848-1257
NPI assigned
Feb 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Authorized official

Name
Mr. David Wengrow
Title
Manager
Phone
(773) 304-8863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

625 N Harlem Ave
Oak Park, IL 60302-1805

Mailing address

625 N Harlem Ave
Oak Park, IL 60302-1805
Phone (708) 848-5966

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1366781502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N HARLEM AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021805",
            "telephone_number": "708-848-5966",
            "fax_number": "708-848-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N HARLEM AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021805",
            "telephone_number": "708-848-5966",
            "fax_number": "708-848-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMOUNT OF OAK PARK REHABILITATION & NURSING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "WENGROW",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-304-8863",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.