Glen Oaks Nursing & Rehabilitation Center, LTD

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

22111 Issued in IL

Legal business name

GLEN OAKS NURSING & REHABILITATION CENTER, LTD

Practice address

270 Skokie Blvd
Northbrook, IL 60062-1612

Phone

(847) 498-9320

Fax

(847) 498-2990

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Sidney Glenner

Title

President

Phone

(847) 674-5454

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321660800000",
    "number": "1790782449",
    "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": "847-674-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 SKOKIE BLVD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621612",
            "telephone_number": "847-498-9320",
            "fax_number": "847-498-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN OAKS NURSING & REHABILITATION CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2011-11-19",
        "status": "A",
        "authorized_official_last_name": "GLENNER",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-674-5454",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "22111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Gkekas, PA-C
• GL Speech Associates LTD
• Blair Mignonne Glanton
• Christopher Didier Glattard
• Lauren Gleason
• Glen Oaks Nursing & Rehabilitation Centre
• Glenbrook Dental Associates
• Glenkirk
• Glenkirk
• Sergey Efim Glikin, C-SA

• Skilled Nursing Facility in Northbrook, IL
• Providers in Northbrook, 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 Nov 19, 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.