<Unavail>

LBN: Gaf/Lake Cook Terrace
<Unavail> is an health care organization with primary practice located at 263 Skokie Blvd , Northbrook IL 60062-1611. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Custodial Care Facility, which is considered as the primary health care specialty. Gaf/Lake Cook Terrace can be contacted via phone (847) 564-0505, or through Goodman, Melody via phone (847) 564-0505.

Contact Information

Primary practice address
263 Skokie Blvd Northbrook IL 60062-1611
Phone: (847) 564-0505
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Goodman, Melody
Phone: (847) 564-0505

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X

Profile Details

NPI number 1659368264
LBN Legal business name Gaf/Lake Cook Terrace
DBA Doing business as <Unavail>
Authorized official Goodman, Melody
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659368264 NPPES
Illinois MEDICAID 3639624779001

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