Provider Demographics
NPI:1689846040
Name:MCALLISTER NURSING & REHAB LLC
Entity Type:Organization
Organization Name:MCALLISTER NURSING & REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNERRR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ATKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-470-0000
Mailing Address - Street 1:9777 N GREENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-1002
Mailing Address - Country:US
Mailing Address - Phone:847-470-0000
Mailing Address - Fax:847-470-0061
Practice Address - Street 1:18300 LAVERGNE AVE
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60478-2903
Practice Address - Country:US
Practice Address - Phone:708-798-2272
Practice Address - Fax:708-798-2298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-26
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0049502314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL363147773001Medicaid
IL363147773001Medicaid