PRESBYTERIAN HOMES NPI 1063472520

NPI Information

  • NPI: 1063472520
  • Provider Name: PRESBYTERIAN HOMES
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: LAKE FOREST PLACE
  • Address: 1100 PEMBRIDGE DRIVE
    LAKE FOREST, IL
    ZIP 60045
  • Phone: (847) 604-6700

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NPI Details

PRESBYTERIAN HOMES is a multi-specialty clinic center in Lake Forest, IL. PRESBYTERIAN HOMES NPI is 1063472520. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Forest Place.

The provider's business location address is:

1100 PEMBRIDGE DRIVE
LAKE FOREST, IL
ZIP 60045
Phone: (847) 604-6700
Fax: (847) 570-3426

The provider's authorized official is Robert E Landsman .
The authorized official title is Vice President Of Finance and has the following contact phone number (847) 492-4859.

The enumeration date for this NPI number is 3/27/2006 and was last updated on 6/4/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityNo
2314000000XSkilled Nursing FacilityNo
3261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
104932281OTHERILLINOISBLUE CROSS BLUE SHIELD ILLINOIS
2211076MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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