Park House

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0034991 Issued in IL

Legal business name

PARK HOUSE

Practice address

2320 S Lawndale Ave
Chicago, IL 60623-3154

Phone

(773) 522-0400

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Jennie Shan-Martin

Title

Controller

Phone

(847) 329-1555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497890875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 SKOKIE BLVD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772545",
            "telephone_number": "847-329-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 S LAWNDALE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233154",
            "telephone_number": "773-522-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAN-MARTIN",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "847-329-1555"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0034991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Parisian, LCPC
• Tiffany Eunike Pariva
• Park & Wells LLC
• Park Bench Psychotherapy, Inc.
• Park Dental Studios, LLC
• Park House Nursing and Rehabilitation Center LLC
• Park Medical & Surgical Plaza
• Park Ridge Orthopedic Surgeons,S.C.
• Park Smile Design
• Park View Medical Center Inc

• 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 Aug 22, 2020; 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.