Church Street Station Nursing

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

CHURCH STREET STATION NURSING

Practice address

7257 N Lincoln Ave
Lincolnwood, IL 60712-1810

Phone

(847) 933-2600

NPI assigned

Jul 12, 2013

Organization subpart

No

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

Authorized official

Name

Jay Flatt

Title

Cfo

Phone

(847) 933-2600

Specialties & licenses 1

Addresses

Other names 1

• Claremont Hanover Park Outpatient Doing business as

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1871934240",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7257 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121810",
            "telephone_number": "847-933-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCH STREET STATION NURSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "FLATT",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-933-2600"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Claremont Hanover Park Outpatient",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chicago Pain and Rehabilitation Clinic P.C.
• Emma Claire Childers
• Hillary Childs
• Cara Chill
• Kelly Choi
• Francisco L Chuy, M.D.
• Margarita Emilia Chuy, DMD
• Sabrina Cimo
• Mary Anne Clark, PSY.D
• Megan Clark, BCBA

• Rehabilitation Clinic/Center in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.