Active NPI
Paramount of Oak Park Rehabilitation & Nursing Center LLC
- Skilled Nursing Facility
- Oak Park, IL
National Provider Identifier
1366781502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.