Active NPI
Citadel of Northbrook LLC
- Skilled Nursing Facility
- Northbrook, IL
National Provider Identifier
1609353473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CITADEL OF NORTHBROOK LLC
- Practice address
- 3300 Milwaukee Ave
Northbrook, IL 60062 - Phone
- (847) 795-9700
- NPI assigned
- Jul 25, 2018
- 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
- Marcella Graf
- Title
- Cfo
- Phone
- (224) 470-2044
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | IL | Primary |
Addresses
Primary practice location
3300 Milwaukee Ave
Northbrook, IL 60062
Mailing address
3755 Chase Ave
Skokie, IL 60076-4008
Phone (224) 470-2044
Other names 1
- The Citadel of Northbrook
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190108003134 | IL | Part A Provider - Skilled Nursing Facility | 8921344284 | Practice locations: Northbrook, IL |
Skilled nursing facility certification: CCN 145982
- Legal name
- CITADEL OF NORTHBROOK LLC
- Doing business as
- THE CITADEL OF NORTHBROOK
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 28, 1999
- Last certification
- Feb 21, 2025
- Beds
- 158
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Dec 28, 2018
- Organization structure
- LLC
- Incorporated
- Jul 19, 2018 in IL
- Enrollment address
- 3300 Milwaukee Ave
Northbrook, IL 60062-7126 - Nursing home name
- CITADEL OF NORTHBROOK, THE
- Affiliated entity
- CITADEL HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Citadel of Northbrook, The
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 28, 1999
- Medicare certification status
- Active
- Certified beds
- 158
- Chain
- Citadel Healthcare
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2162439 | The Citadel at Northbrook | Certificate of waiver | Feb 20, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Marcella Graf | W-2 Managing Employee | Dec 28, 2018 | |
| Jonathan Aaron | 5% Or Greater Direct Ownership Interest | Dec 28, 2018 | 30.03% |
| Kenneth Ripstein | 5% Or Greater Direct Ownership Interest | Dec 28, 2018 | 30.03% |
Practitioners & affiliated clinicians
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Redwood City, CA
- NPI 1497887038
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762214400000",
"number": "1609353473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3755 CHASE AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600764008",
"telephone_number": "224-470-2044",
"fax_number": "224-470-2952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 MILWAUKEE AVE",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "60062",
"telephone_number": "847-795-9700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITADEL OF NORTHBROOK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-25",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A",
"authorized_official_last_name": "GRAF",
"authorized_official_first_name": "MARCELLA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "224-470-2044"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "The Citadel of Northbrook",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.