Chevy Chase Corp

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CHEVY CHASE CORP

Doing business as

Bronzeville Park Skilled Nursing & Living Center

Practice address

3400 S Indiana Ave
Chicago, IL 60616-3841

Phone

(312) 842-5000

Fax

(312) 842-3790

NPI assigned

Nov 10, 2006

Last updated

Sep 14, 2009By the provider in NPPES

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

• BRONZEVILLE PARK SKILLED NURSING & LIVING CENTER Doing business as

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1770654907",
    "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": "3400 S INDIANA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163841",
            "telephone_number": "312-842-5000",
            "fax_number": "312-842-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEVY CHASE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2009-09-14",
        "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": "5003300001",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IL",
            "license": "5003300001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRONZEVILLE PARK SKILLED NURSING & LIVING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ottilie K Cheung
• Aimee Chevalier, PHARM.D.
• Suzette Chevere, APRN
• Christine Chevlin, RN
• Chevy Chase Corp
• Chhablani and Sheridan, S.C.
• Asha Chhablani, M.D.
• Ramesh Chhablani, MD
• Navika Chhabra, MD
• Sonya Chhabra, DO

• 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 14, 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.