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JACKSON SQUARE SKILLED NURSING AAND LIVING
NPI 1356578900
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Chicago, IL

Active since June 22, 2009
5130 W JACKSON BLVD, CHICAGO, IL 60644(773) 921-8000(773) 921-3980 Get Directions Write a Review

NPPES record last updated: June 22, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackson Square Skilled Nursing Aand Living NPPES

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

JACKSON SQUARE SKILLED NURSING AAND LIVING (NPI 1356578900) is a healthcare organization registered as an oxygen equipment & supplies in Chicago, Illinois and active in the NPI registry since June 2009. The organization lists Reuven Levitin, Patient Accounts Manager, as its authorized official.

NPPES Registry Identity

NPI1356578900
Entity TypeOrganization
Primary Taxonomy332BX2000X
Legal Business NameJACKSON SQUARE SKILLED NURSING AAND LIVING
Location Address5130 W JACKSON BLVDChicago, IL 60644-4332
Mailing Address7257 N Lincoln AveLincolnwood, IL 60712-1810 · (847) 933-2600 · Fax (847) 933-2601
Phone(773) 921-8000
Fax(773) 921-3980
Organization SubpartNo
Authorized OfficialReuven LevitinPatient Accounts Manager · (847) 745-6240
Enumeration DateJune 22, 2009
✔ NPI 1356578900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesSuppliers
Taxonomy Code332BX2000X
License✔ Licensed in IL · 0039834
5130 W JACKSON BLVD, Chicago, IL 60644
Open in Google Maps ↗

Other Identifiers 3

Medicaid=========001IL
Medicare OSCAR/certification145661
Other1740351972Npi

Other Providers at the Same Location NPPES 11

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

JACKSON CORP
Skilled Nursing Facility
5130 W JACKSON BLVD
CHICAGO, IL 60644
Cook County (773) 921-8000
GREEN HEALTHCARE LTD.
Nurse Practitioner
5130 W JACKSON BLVD
CHICAGO, IL 60644
Cook County (773) 921-8000
JACKSON CORP
Skilled Nursing Facility
5130 W JACKSON BLVD
CHICAGO, IL 60644
Cook County (773) 921-8000
MISS EMILY R GOMEZTAGLE MS-SLP-CCC
Speech-Language Pathologist
5130 W JACKSON BLVD
CHICAGO, IL 60644
Cook County (219) 308-9477
MR. BRYAN DE ROSAS OTR/L
Occupational Therapist
5130 W JACKSON BLVD
CHICAGO, IL 60644
Cook County (773) 921-8000
MRS. JENNIFER BURNS OTR/L
Occupational Therapist
5130 W JACKSON BLVD
CHICAGO, IL 60644
Cook County (773) 921-8000
SYMPHONY JACKSON SQUARE LLC
Skilled Nursing Facility
5130 W JACKSON BLVD
CHICAGO, IL 60644
Cook County (773) 921-8000
ZACHARY RICHMOND CCC-SLP
Speech-Language Pathologist
5130 W JACKSON BLVD
CHICAGO, IL 60644
Cook County (773) 921-8000

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 Jackson Square Skilled Nursing Aand Living's NPI number?

The NPI number for Jackson Square Skilled Nursing Aand Living is 1356578900. It was assigned to this organization in the NPPES registry on June 22, 2009.

Where is Jackson Square Skilled Nursing Aand Living located?

Jackson Square Skilled Nursing Aand Living is located at 5130 W Jackson Blvd, Chicago, IL 60644. The listed phone number is (773) 921-8000.

What is Jackson Square Skilled Nursing Aand Living's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Oxygen Equipment & Supplies, with taxonomy code 332BX2000X.

When was this NPI record last updated?

The NPPES record for Jackson Square Skilled Nursing Aand Living was last updated on June 22, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.