Basic Information
Provider Information
NPI: 1497748669
EntityType: 2
ReplacementNPI:  
OrganizationName: ABBINGTON REHAB & NURSING CENTER LTD
LastName:  
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Mailing Information
Address1: 3737 W ARTHUR AVE
Address2:  
City: LINCOLNWOOD
State: IL
PostalCode: 607124029
CountryCode: US
TelephoneNumber: 8476792121
FaxNumber: 8476792122
Practice Location
Address1: 31 CENTRAL AVE
Address2:  
City: ROSELLE
State: IL
PostalCode: 601721903
CountryCode: US
TelephoneNumber: 6308945058
FaxNumber: 6308945070
Other Information
ProviderEnumerationDate: 08/23/2005
LastUpdateDate: 12/16/2011
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: WEBSTER
AuthorizedOfficialFirstName: JEFFREY
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AuthorizedOfficialTitleorPosition: PRES
AuthorizedOfficialTelephone: 8476792121
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MR.
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
314000000X0039693ILY Nursing & Custodial Care FacilitiesSkilled Nursing Facility 

No ID Information.


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