Brookdale Living Communities of Illinois-Ge, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BROOKDALE LIVING COMMUNITIES OF ILLINOIS-GE, INC.

Doing business as

Brookdale Glen Ellyn

Practice address

60 Nicoll Ave
Glen Ellyn, IL 60137-8210

Phone

(630) 446-1600

NPI assigned

Mar 13, 2025

Organization subpart

No

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

Authorized official

Name

Anna F.C. Munoz

Title

Assistant Secretary

Phone

(414) 918-5443

Specialties & licenses 1

Addresses

Other names 1

• Brookdale Glen Ellyn Doing business as

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1780484436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 NICOLL AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601378210",
            "telephone_number": "630-446-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 NICOLL AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601378210",
            "telephone_number": "630-446-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKDALE LIVING COMMUNITIES OF ILLINOIS-GE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "F.C.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "414-918-5443"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Glen Ellyn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaret Mary Brant, OTR/L
• Michelle Brewer, DPT
• Brighter Vista Counseling
• Walter Briney, M.D.
• Elyse Broderick, DPT
• Ann Bruckelmeyer, LCSW, CADC
• Bettina Brydon, RT
• Betsy Buckley
• Skyler Budny
• Deborah M Budris, MD

• Assisted Living Facility in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.