NPIMap

Organization Active NPI

Brentwood Northhealthcare and Rehabilitation Centre

  • Rehabilitation Clinic/Center
  • Riverwoods, IL
National Provider Identifier
1578845681
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
50112 Issued in IL
Legal business name
BRENTWOOD NORTHHEALTHCARE AND REHABILITATION CENTRE
Practice address
3705 Deerfield Rd
Riverwoods, IL 60015-3540
Phone
(847) 947-9000
Fax
(847) 947-9005
NPI assigned
Sep 14, 2011
Last updated
Sep 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Authorized official

Name
Ms. Jill Anderson, RN
Title
Vice President, Medical Products
Phone
(847) 674-5454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 50112 IL Primary

Addresses

Primary practice location

3705 Deerfield Rd
Riverwoods, IL 60015-3540

Mailing address

5454 Fargo Ave
Skokie, IL 60077-3210
Phone (847) 674-5454

National Provider Directory

National Provider Directory
Tax ID family
Brentwood North Healthcare3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5454 Fargo Ave
Skokie, IL 60077
Phone (847) 674-5454

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1578845681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 FARGO AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773210",
            "telephone_number": "847-674-5454",
            "fax_number": "847-674-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 DEERFIELD RD",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "600153540",
            "telephone_number": "847-947-9000",
            "fax_number": "847-947-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD NORTHHEALTHCARE AND REHABILITATION CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "VICE PRESIDENT, MEDICAL PRODUCTS",
        "authorized_official_telephone_number": "847-674-5454",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "IL",
            "license": "50112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverwoods, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.