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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

17400 S KEDZIE AVE LLC

Active Organization

17400 S KEDZIE AVE LLC is a Assisted Living Facility organization located in HAZEL CREST, Illinois. NPI 1578321311 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · HAZEL CREST, IL

Registration Details

NPI Number
1578321311
Provider Type
Organization
NPI Issued
Mar 7, 2024 (2.2500336317394 yrs)
Last Updated
May 17, 2024

Practice Information

Address
17400 KEDZIE AVE
HAZEL CREST, IL, 604291600
Browse IL providers · Browse ZIP 60429
Phone
6187803256
Primary Specialty
Assisted Living Facility
310400000X
Additional Specialty
Assisted Living Facility

Other Assisted Living Facility Organizations in HAZEL CREST, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.