JACKSON PARK SUPPOTIVE LIVING
NPI 1396876439
Assisted Living Facility in Chicago, IL

Active since March 08, 2007
1448 E 75TH ST, CHICAGO, IL 60619(773) 667-6500(773) 667-1875 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jackson Park Suppotive Living NPPES

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

JACKSON PARK SUPPOTIVE LIVING (NPI 1396876439) is a healthcare organization registered as an assisted living facility in Chicago, Illinois and active in the NPI registry since March 2007. The organization lists Patrick Finn, Member, as its authorized official.

NPPES Registry Identity

NPI1396876439
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameJACKSON PARK SUPPOTIVE LIVING
Location Address1448 E 75TH STChicago, IL 60619-2125
Mailing Address4711 Midlothian Tpke, Suite 20Crestwood, IL 60445-4900 · (708) 371-4507 · Fax (708) 371-1761
Fax(773) 667-1875
Organization SubpartNo
Authorized OfficialPatrick FinnMember · (847) 229-3400
Enumeration DateMarch 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1396876439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1448 E 75TH ST, Chicago, IL 60619

Other Providers at the Same Location NPPES

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

Assisted Living Facility
1448 E 75TH ST
CHICAGO, IL 60619

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 Park Suppotive Living's NPI number?

The NPI number for Jackson Park Suppotive Living is 1396876439. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Jackson Park Suppotive Living located?

Jackson Park Suppotive Living is located at 1448 E 75th St, Chicago, IL 60619. The listed phone number is (773) 667-6500.

What is Jackson Park Suppotive Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Jackson Park Suppotive Living was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.