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PRESBYTERIAN HOMES OUTPATIENT REHABILITATION AGENCY LLC
NPI 1306243852
Clinic/Center - Rehabilitation in Evanston, IL

Active since November 28, 2014
3200 GRANT ST, EVANSTON, IL 60201(847) 492-2940(847) 492-2850 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 8, 2021, Dec 10, 2019, Dec 5, 2019 (3 updates tracked since 2019).

About Presbyterian Homes Outpatient Rehabilitation Agency Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRESBYTERIAN HOMES OUTPATIENT REHABILITATION AGENCY LLC (NPI 1306243852) is a healthcare organization registered as a rehabilitation in Evanston, Illinois and active in the NPI registry since November 2014. The organization lists Mark Havrilka, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1306243852
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NamePRESBYTERIAN HOMES OUTPATIENT REHABILITATION AGENCY LLC
Location Address3200 GRANT STEvanston, IL 60201-1903
Mailing Address8707 Skokie Blvd Ste 400Skokie, IL 60077-2283 · (847) 979-3955 · Fax (847) 979-3969
Phone(847) 492-2940
Fax(847) 492-2850
Organization SubpartYesParent: Presbyterian Homes Manager Llc
Authorized OfficialMark HavrilkaChief Financial Officer · (847) 979-3904
Enumeration DateNovember 28, 2014
Last NPPES UpdateOctober 8, 20213 updates tracked since enumeration
NPPES CertifiedOctober 8, 2021
✔ NPI 1306243852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
3200 GRANT ST, Evanston, IL 60201
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHARA FRANKENFELD APN, CNS-BC
Clinical Nurse Specialist (Gerontology)
3200 GRANT ST
EVANSTON, IL 60201
Cook County (847) 570-3446
PRESBYTERIAN HOMES
Clinic/Center (Medical Specialty)
3200 GRANT ST
EVANSTON, IL 60201
Cook County (847) 492-4800
MELISSA E MUENCH
Occupational Therapist
3200 GRANT ST
EVANSTON, IL 60201
Cook County (847) 570-3422
SUSAN E SANDHOLM MSW
Social Worker (Clinical)
3200 GRANT ST
EVANSTON, IL 60201
Cook County (847) 866-1645
SOFIA MARIE NAVA
Speech-Language Pathologist
3200 GRANT ST
EVANSTON, IL 60201
Cook County (847) 492-2800
YAMINAH MAXIM VELASCO AGPCNP-BC
Nurse Practitioner (Primary Care)
3200 GRANT ST
EVANSTON, IL 60201
Cook County (847) 961-0939
EMONIE ALLEN
Occupational Therapist
3200 GRANT ST
EVANSTON, IL 60201
Cook County (847) 570-3422
PRESBYTERIAN HOMES PHARMACY
Pharmacy
3200 GRANT ST
EVANSTON, IL 60201
Cook County (847) 492-4827

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Presbyterian Homes Outpatient Rehabilitation Agency LLC's NPI number?

The NPI number for Presbyterian Homes Outpatient Rehabilitation Agency LLC is 1306243852. It was assigned to this organization in the NPPES registry on November 28, 2014.

Where is Presbyterian Homes Outpatient Rehabilitation Agency LLC located?

Presbyterian Homes Outpatient Rehabilitation Agency LLC is located at 3200 Grant St, Evanston, IL 60201. The listed phone number is (847) 492-2940.

What is Presbyterian Homes Outpatient Rehabilitation Agency LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Presbyterian Homes Outpatient Rehabilitation Agency LLC was last updated on October 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.