14D0913584 CLIA NUMBER - ALDEN-NORTHMOOR REHAB AND HEALTH CARE CENTER INC

Laboratory Demographics

CLIA Number: 14D0913584

Facility Name: ALDEN-NORTHMOOR REHAB AND HEALTH CARE CENTER INC

Facility Address:
5831 NORTH NORTHWEST HIGHWAY
CHICAGO, IL
ZIP 60631
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Facility Phone Number: 773 775-8080

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1508221334

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	14D0913584
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	ALDEN-NORTHMOOR REHAB AND HEALTH CARE CENTER INC
Street	5831 NORTH NORTHWEST HIGHWAY
City	CHICAGO
State	IL
ZIP	60631
Phone	773 775-8080
CertificateType	4
CertificateEffectiveDate	4/4/2024
CertificateExpirationDate	4/3/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024