Organization · Type 2 NPI

Jackson Square Skilled Nursing Aand Living

Oxygen Equipment & Supplies (DME) · Chicago, IL

NPI number 1356578900 Active

Practice location

5130 W Jackson Blvd
Chicago, IL 60644-4332

Call (773) 921-8000 Map

Fax (773) 921-3980

Mailing address

7257 N Lincoln Ave
Lincolnwood, IL 60712-1810

Specialties and licenses

TaxonomyCodeLicense
Oxygen Equipment & Supplies (DME) Primary 332BX2000X0039834 (IL)

Oxygen Equipment & Supplies (DME): Definition to come...

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About NPI 1356578900

Jackson Square Skilled Nursing Aand Living's National Provider Identifier is 1356578900, issued on Jun 22, 2009. The primary taxonomy on file is Oxygen Equipment & Supplies (DME) (332BX2000X), and the practice location is in Chicago, IL. The record was last updated on Jun 22, 2009.