Wisconsin Illinois Senior Housing Inc.
NPI #1780673954 in Crystal Lake, Illinois
Provider Information
- NPI Number
- 1780673954
- Entity Type
- Organization
- Organization Name
- Wisconsin Illinois Senior Housing Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 19, 2005
- Last Updated
- May 13, 2020
Practice Location
- Address
- 471 W TERRA COTTA AVE
- City
- Crystal Lake
- State
- Illinois
- ZIP Code
- 60014-3434
- Phone
- (815) 455-0550
Authorized Official
- Name
- MRS. STEPHANIE L. SHERMAN
- Title
- MEDICARE PROGRAM MONITOR
- Phone
- (303) 980-0611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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