Active NPI
Willmington Nursing &Rehabilitation Center,L.L.C.
- Skilled Nursing Facility
- Wilmington, IL
National Provider Identifier
1508182544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1940522
- Legal business name
- WILLMINGTON NURSING &REHABILITATION CENTER,L.L.C.
- Practice address
- 555 W Kahler Rd
Wilmington, IL 60481-1527 - Phone
- (815) 476-2200
- Fax
- (847) 679-2209
- NPI assigned
- Apr 15, 2010
- 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. Avrum Weinfeld
- Title
- C.F.O
- Phone
- (847) 674-5795
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1940522 | IL | Primary |
Addresses
Primary practice location
555 W Kahler Rd
Wilmington, IL 60481-1527
Mailing address
6865 N Lincoln Ave
Lincolnwood, IL 60712-4611
Phone (847) 674-5795
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271289600000",
"number": "1508182544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6865 N LINCOLN AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607124611",
"telephone_number": "847-674-5795",
"fax_number": "847-674-5794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 W KAHLER RD",
"city": "WILMINGTON",
"state": "IL",
"postal_code": "604811527",
"telephone_number": "815-476-2200",
"fax_number": "847-679-2209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLMINGTON NURSING &REHABILITATION CENTER,L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-15",
"last_updated": "2010-04-15",
"status": "A",
"authorized_official_last_name": "WEINFELD",
"authorized_official_first_name": "AVRUM",
"authorized_official_title_or_position": "C.F.O",
"authorized_official_telephone_number": "847-674-5795",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "1940522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.