Paxton Healthcare and Rehab LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2192487 Issued in IL

Legal business name

PAXTON HEALTHCARE AND REHAB LLC

Practice address

3856 Oakton St Ste 200
Skokie, IL 60076-3455

Phone

(847) 674-4700

Fax

(847) 674-4733

NPI assigned

Mar 31, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Jerry Stanley Januszewski

Title

Cfo

Phone

(847) 674-4700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1457746083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 N MARKET ST",
            "city": "PAXTON",
            "state": "IL",
            "postal_code": "609574158",
            "telephone_number": "217-379-4896",
            "fax_number": "217-379-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3856 OAKTON ST STE 200",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763455",
            "telephone_number": "847-674-4700",
            "fax_number": "847-674-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAXTON HEALTHCARE AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "JANUSZEWSKI",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-674-4700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "2192487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Schattauer, MDSC Inc
• Joya Paul, MD
• Katlynn Paul, PA-C
• Erik B. Pauls, PA-C
• Jessica Natalia Pawlik, APRN
• Beatrisa Paz-Averbuch, MD
• Barbara Pearl, MS, RDN,LDN
• Laura Pearlman, MD
• Olufunmilayo Pearson
• Wolf D Peddinghaus, M.D.

• Skilled Nursing Facility in Skokie, IL
• Providers in Skokie, 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 Mar 31, 2015; 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.