Lake Cook Terrace Nursing Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1773151 Issued in IL

Legal business name

LAKE COOK TERRACE NURSING CENTER

Practice address

263 Skokie Blvd
Northbrook, IL 60062-1611

Phone

(847) 564-0505

Fax

(847) 564-3775

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Shelley Martinez

Title

Administrator

Phone

(847) 564-0505

Specialties & licenses 1

Addresses

Other names 1

• Lake Cook Health & Rehab Center Doing business as

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942344007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 SKOKIE BLVD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621611",
            "telephone_number": "847-564-0505",
            "fax_number": "847-564-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 SKOKIE BLVD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621611",
            "telephone_number": "847-564-0505",
            "fax_number": "847-564-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COOK TERRACE NURSING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-564-0505",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "1773151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Cook Health & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laboratory Corporation of America Holdings
• Natasha Ladhani, PHARMD
• Elizabeth W Ladin-Gross, LCSW,ED.D, MSW
• Alessandra Lagos, PHARMD
• James G Lahti, M.D.
• Lake Shore Therapy Group
• Lakeshore Psychology Group LLC
• Mariam Lakhdhir
• Mohsina T. Laliwala, MD
• Cheikh Lam

• 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 Aug 22, 2020; 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.