Jackson Corp

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

JACKSON CORP

Practice address

5130 W Jackson Blvd
Chicago, IL 60644-4332

Phone

(773) 921-8000

Fax

(773) 921-3980

NPI assigned

Nov 10, 2006

Organization subpart

No

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

Authorized official

Name

Reuven Levitin

Title

Patient Accounts Manager

Phone

(847) 745-6240

Specialties & licenses 3

Addresses

Other names 1

• JACKSON SQUARE NURSING & REHAB CENTER Doing business as

Locations

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1740351972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7257 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121810",
            "telephone_number": "847-933-2600",
            "fax_number": "847-933-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 W JACKSON BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606444332",
            "telephone_number": "773-921-8000",
            "fax_number": "773-921-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "LEVITIN",
        "authorized_official_first_name": "REUVEN",
        "authorized_official_title_or_position": "PATIENT ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "847-745-6240"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "IL",
            "license": "5074210001",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IL",
            "license": "5074210001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JACKSON SQUARE NURSING & REHAB CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcus Jack
• Jackie the Social Worker
• Barbara Jacks, MD
• Jackson Cila Care Inc
• Jackson Corp
• Jackson Park Hospital
• Jackson Park Hospital Foundation
• Jackson Park Hospital Foundation
• Jackson Park SLF, LLC
• Jackson Park Suppotive Living

• 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 Sep 9, 2009; 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.