Victory Centre of South Chicago LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

VICTORY CENTRE OF SOUTH CHICAGO LLC

Practice address

3251 E 92ND St
Chicago, IL 60617-4660

Phone

(773) 449-2600

Fax

(773) 734-8022

NPI assigned

Mar 17, 2009

Organization subpart

Yes

Parent organization

PSL HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Jerome E Finis

Title

President

Phone

(312) 837-0704

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1992946214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W. WACKER DRIVE",
            "address_2": "SUITE 1010",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606061202",
            "telephone_number": "312-837-0701",
            "fax_number": "312-837-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 E 92ND ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174660",
            "telephone_number": "773-449-2600",
            "fax_number": "773-734-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY CENTRE OF SOUTH CHICAGO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PSL HOLDINGS LLC",
        "enumeration_date": "2009-03-17",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "FINIS",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-837-0704"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Victorine, LAC
• Victorino S Yu, MD SC
• Rafael Victorio Jr., DO
• Victory Centre of Galewood LLC
• Victory Centre of Roseland LLC
• Victory House
• Victory Medical of Illinois PC
• Victory Medical Supply Inc
• Victory Pharmacy of Decatur Inc
• Victory Place

• Assisted Living Facility in Chicago, IL
• Providers in Chicago, 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 Jul 7, 2016; 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.