Organization · Type 2 NPI

Renaissance at Midway Inc

Skilled Nursing Facility · Chicago, IL

NPI number 1487725628 Active

Practice location

4437 S Cicero Ave
Chicago, IL 60632-4333

Fax (773) 884-0485

Mailing address

7257 N Lincoln Ave
Lincolnwood, IL 60712-1810

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed
Nursing Facility Supplies (DME) 332BN1400X5003380001 (IL)
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X5003380001 (IL)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1487725628

Renaissance at Midway Inc's National Provider Identifier is 1487725628, issued on Nov 10, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Chicago, IL. The record was last updated on Mar 16, 2009.