NextLevel Health Partners MCCN Network

Transcription

1 NextLevel Health Partners MCCN Network All Facilities (Hospitals, Community Health Centers, Skilled Nursing Facilities, etc.) Community Mental Health Center (CMHC) Community Mental Health Center (CMHC) Adapt of Illinois-Columbus Park Association House of Chicago NPI Number System Name Adapt of Illinois Address 901 S. Austin Blvd City, State, Zip Chicago, IL Tel Fax Adapt of Illinois-Sheridan Shores NPI Number System Name Association House of Chicago Address 1116 N Kedzie City, State, Zip Chicago, IL Tel Fax Blue Island NPI Number System Name Adapt of Illinois Address 5838 N. Sheridan Road City, State, Zip Chicago, IL Tel Fax Ardent Community Wellness Center NPI Number System Name Ardent Community Wellness Center Address 3166 N. Lincoln Avenue suite 401 NPI Number System Name Metropolitan Family Service Address S. Western Ave. City, State, Zip Blue Island, IL Tel Fax Bobby E Wright Comprehensive Behavioral Health Center NPI Number System Name Bobby E Wright Comprehensive Behavioral Health Center Address 9 South Kedzie Ave City, State, Zip Chicago, il Tel Fax City, State, Zip Chicago, IL Tel Fax Page 1 of 23

2 Community Mental Health Center (CMHC) Community Mental Health Center (CMHC) Evanston/Skokie Valley Center Healthcare Alternative Systems, Inc. NPI Number System Name Metropolitan Family Service Address 5210 Main St. City, State, Zip Skokie, IL Tel Fax Family Service and Mental Health Center of Cicero NPI Number System Name Healthcare Alternative Systems, Inc. Address 5005 W. Fullerton Ave City, State, Zip Chicago, IL Tel Fax Infant Welfare Society of Chicago NPI Number System Name Family Service and Mental Health Center of Cicero Address 5341 W Cermak Rd City, State, Zip Cicero, IL Tel Fax Family Service Association of Greater Elgin NPI Number System Name Infant Welfare Society of Chicago Address 3600 W. Fullerton Avenue City, State, Zip Chicago, IL Tel Fax Kenneth Young Center - Elk Grove NPI Number System Name Family Service Association of Greater Elgin Address 1140 McLean Blvd Suite I City, State, Zip Elgin, IL Tel Fax Habilitative Systems, Inc NPI Number System Name Kenneth Young Center Address 1001 Rohlwing Road City, State, Zip Elk Grove Village, IL Tel Fax Leyden Family Service and Mental Health Center NPI Number System Name Habilitative Systems, Inc. Address 415 S Kilpatrick Ave City, State, Zip Chicago, IL Tel Fax NPI Number System Name Leyden Family Service and Mental Health Center Address 1776 Moon Lake Blvd City, State, Zip Hoffman Estates, IL Tel Fax Page 2 of 23

3 Community Mental Health Center (CMHC) Community Mental Health Center (CMHC) Leyden Family Service and Mental Health Center Portage Cragin NPI Number System Name Leyden Family Service and Mental Health Center Address Grand Ave City, State, Zip Franklin Park, IL Tel Fax Outpatient Recovery Center NPI Number System Name Lutheran Social Service of Illinois Address 4840 W. Byron Street City, State, Zip Chicago, IL Tel Fax Sertoma Centre NPI Number System Name Pilsen Wellness Center Address 2015 W Cermak Rd City, State, Zip Chicago, IL Tel Fax Pilsen Inn NPI Number System Name Sertoma Centre Inc Address 4331 W. Lincoln Highway City, State, Zip Matteson, IL Tel Fax Southeast Chicago Center NPI Number System Name Pilsen Wellness Center Address 2635 W 23rd St City, State, Zip Chicago, IL Tel Fax Pilsen Little Village CMHC NPI Number System Name Metropolitan Family Service Address 3062 E. 91st Street City, State, Zip Chicago, IL Tel Fax Southwest Center NPI Number System Name Pilsen Wellness Center Address 2319 S Damen Ave City, State, Zip Chicago, IL Tel Fax NPI Number System Name Metropolitan Family Service Address S. Roberts Road City, State, Zip Palos Hills, IL Tel Fax Page 3 of 23

4 Community Mental Health Center (CMHC) Diagnostic Radiology TASC Inc Chicago Ridge Medical Imaging NPI Number System Name TASC Inc Address 2320 W Roosevelt Rd City, State, Zip Chicago, IL Tel Fax Diagnostic Radiology Accurate Imaging Diagnostic Ltd NPI Number System Name Accurate Imaging Diagnostic Ltd Address 3525 W. Peterson Ave Suite 103 City, State, Zip Chicago, IL Tel Fax American Xray Services NPI Number System Name American Xray Services Address 9914 DERBY LN Suite 109 City, State, Zip Westchester, IL Tel Fax NPI Number System Name Chicago Ridge Medical Imaging Address 9830 S. Ridgeland Ave Suite 4 City, State, Zip Chicago Ridge, IL Tel Fax Community Imaging NPI Number System Name Community Imaging Address 270 West Loop Rd City, State, Zip Wheaton, IL Tel Fax Curewell Diagnostic Services NPI Number System Name Curewell Diagnostic Services Address 5795 N. Elston Ave City, State, Zip Chicago, IL Tel Fax Mediquest Diagnostic Center SC NPI Number System Name Mediquest Diagnostic Center SC Address 3420 W. Peterson Ave City, State, Zip Chicago, IL Tel Fax Page 4 of 23

5 Diagnostic Radiology Diagnostic Radiology Midwest Imaging and Diagnostics Center Molecular Imaging Chicago LLC NPI Number System Name Midwest Imaging and Diagnostics Center Address 5702 W 95th St Suite A City, State, Zip OAK LAWN, IL Tel Fax Midwest Open MRI NPI Number System Name Molecular Imaging Chicago LLC Address 6525 W North Ave Suite 106 City, State, Zip Oak Park, IL Tel Fax Molecular Imaging Chicago LLC NPI Number System Name Midwest Open MRI Address 8415 W. Cermak Rd City, State, Zip North Riverside, IL Tel Fax Midwest Open MRI NPI Number System Name Molecular Imaging Chicago LLC Address 4351 N Cicero Ave City, State, Zip Chicago, IL Tel Fax Molecular Imaging Chicago LLC NPI Number System Name Midwest Open MRI Address 8319 W. North Avenue City, State, Zip Melrose Park, IL Tel Fax Molecular Imaging Chicago LLC NPI Number System Name Molecular Imaging Chicago LLC Address 4932 W 95th St City, State, Zip Oak Lawn, IL Tel Fax Molecular Imaging Chicago LLC NPI Number System Name Molecular Imaging Chicago LLC Address LaSalle St City, State, Zip South Holland, IL Tel Fax NPI Number System Name Molecular Imaging Chicago LLC Address 1732 W Algonquin Rd City, State, Zip ARLINGTON HEIGHTS, IL Tel Fax Page 5 of 23

6 Diagnostic Radiology Durable Medical Equipment Molecular Imaging Chicago LLC Advanced Medical Supply Inc NPI Number System Name Molecular Imaging Chicago LLC Address th Ave City, State, Zip Orland Park, IL Tel Fax Molecular Imaging Chicago LLC NPI Number System Name Advanced Medical Supply Inc Address 3322 N MilwaukeeAve City, State, Zip Chicago, IL Tel Fax Calmed Medical Supplies and Repair NPI Number System Name Molecular Imaging Chicago LLC Address 230 East Ogden City, State, Zip Hinsdale, IL Tel Fax Valley Lo Imaging NPI Number System Name Address W. 10 Mile Rd City, State, Zip Southfield, MI Tel Fax Century Medical Supply NPI Number System Name Valley Lo Imaging Address 1965 Tanglewood Dr Unit F City, State, Zip Glenview, IL Tel Fax YS Diagnostic Ultrasound NPI Number System Name Century Medical Supply Address 6032 S Halsted Suite 104 City, State, Zip Chicago, IL Tel Fax Chyodo Medical Supplies NPI Number System Name YS Diagnostic Ultrasound Address 8536 Crawford Ave City, State, Zip SKOKIE, IL Tel Fax NPI Number System Name Address 211 East 31st Street City, State, Zip Chicago, IL Tel Fax Page 6 of 23

7 Durable Medical Equipment Durable Medical Equipment Doubek Medical Supply, Inc. Premier Homecare Supplies NPI Number System Name Address S Cicero Ave City, State, Zip Alsip, IL Tel Fax European Service at Home Inc. NPI Number System Name Address 8048 South Kedzie Ave City, State, Zip Chicago, IL Tel Fax Robert B Scott Ocularists NPI Number System Name European Service at Home Inc. Address 49 W. Slade St City, State, Zip Palatine, IL Tel Fax Home Bound Health Medical Equipment & Supplies NPI Number System Name Robert B Scott Ocularists Address 111 N. Wabash Ave Suite 1620 City, State, Zip Chicago, IL Tel Fax Shield Denver Health Care Center, Inc. NPI Number System Name Home Bound Healthcare Address 2307 W Lake St City, State, Zip Melrose Park, IL Tel Fax M & R Prescription Center NPI Number System Name Address 847 N Church Court Ste A City, State, Zip Elmhurst, IL Tel Fax Shield Healthcare NPI Number System Name M & R Prescription Center Address 1959 E. 71st St City, State, Zip Chicago, IL Tel Fax NPI Number System Name Shield Healthcare Address 747 N CHURCH RD Suite G11 City, State, Zip Elmhurst, IL Tel Fax Page 7 of 23

8 Durable Medical Equipment Federally Qualified Health Center (FQHC) True Care Durable Medical Equipment Aunt Martha's Roseland Community Health Center NPI Number System Name True Care Durable Medical Equipment Address 501 Ridge Rd City, State, Zip Homewood, IL Tel Fax Federally Qualified Health Center (FQHC) Aunt Martha's Chicago Heights Community Health Center NPI Number System Name Aunt Martha's Address 1536 Vincennes Ave City, State, Zip Chicago Heights, IL Tel Fax Aunt Martha's Hazel Crest Community Health Center NPI Number System Name Aunt Martha's Address S. Kedzie Ave. Suite 1150 City, State, Zip Hazel Crest, IL Tel Fax NPI Number System Name Aunt Martha's Address 200 E. 115th St City, State, Zip Chicago, IL Tel Fax Aunt Martha's South Holland Community Health Center NPI Number System Name Aunt Martha's Address 52 W. 162nd St City, State, Zip South Holland, IL Tel Fax Aunt Martha's Southeast Side Community Health Center NPI Number System Name Aunt Martha's Address 3528 E. 118th St City, State, Zip Chicago, IL Tel Fax Beloved Community Family Wellness Center NPI Number System Name Beloved Community Family Wellness Center Address 6821 S. Halsted St City, State, Zip Chicago, IL Tel Fax Page 8 of 23

9 Federally Qualified Health Center (FQHC) Federally Qualified Health Center (FQHC) Beloved Community Family Wellness Center - Robbins NPI Number System Name Beloved Community Family Wellness Center Address 3518 W. 139th St 2nd Floor City, State, Zip Robbins, IL Tel Fax Christian Community Health Center Circle Family Healthcare Network NPI Number System Name Circle Family Healthcare Network Address 115 N. Parkside City, State, Zip Chicago, IL Tel Fax Family Christian Health Center NPI Number System Name Christian Community Health Center Address 9718 S. Halsted St City, State, Zip Chicago, IL Tel Fax Christian Community Health Center - Calumet City NPI Number System Name Family Christian Health Center Address 31 W 155th St City, State, Zip Harvey, IL Tel Fax Friend Family Ashland NPI Number System Name Christian Community Health Center Address 364 Torrence Ave City, State, Zip Calumet City, IL Tel Fax Christian Community Health Center - South Holland NPI Number System Name Friend Family Health Center Address 4802 S. Ashland Ave. City, State, Zip Chicago, IL Tel Fax Friend Family Cottage Grove NPI Number System Name Christian Community Health Center Address 901 E Sibley Blvd City, State, Zip South Holland, IL Tel Fax NPI Number System Name Friend Family Health Center Address 800 E. 55th St. City, State, Zip Chicago, IL Tel Fax Page 9 of 23

10 Federally Qualified Health Center (FQHC) Federally Qualified Health Center (FQHC) Friend Family Pulaski Near North - LOUISE LANDAU HEALTH CENTER NPI Number System Name Friend Family Health Center Address 5635 S. Pulaski Rd 2nd Fl. City, State, Zip Chicago, IL Tel Fax Friend Family Western NPI Number System Name Near North Address 800 N. Kedzie City, State, Zip Chicago, IL Tel Fax Near North - NORTH KOSTNER HEALTH CENTER NPI Number System Name Friend Family Health Center Address 5843 S. Western Ave. City, State, Zip Chicago, IL Tel Fax Near North - COTTAGE VIEW HEALTH CENTER NPI Number System Name Near North Address 1520 N. Kostner Ave City, State, Zip Chicago, IL Tel Fax Near North - REAVIS SCHOOL BASED HEALTH CENTER NPI Number System Name Near North Address 4829 S. Cottage Grove Ave City, State, Zip Chicago, IL Tel Fax Near North - DENNY COMMUNITY HEALTH CENTER NPI Number System Name Near North Address 834 E. 50th St City, State, Zip Chicago, IL Tel Fax Near North - UPTOWN COMMUNITY HEALTH CENTER NPI Number System Name Near North Address 30 W. Chicago City, State, Zip Chicago, IL Tel Fax NPI Number System Name Near North Address 4867 N. Broadway City, State, Zip Chicago, IL Tel Fax Page 10 of 23

11 Federally Qualified Health Center (FQHC) General Hospital Near North - WINFIELD MOODY HEALTH CENTER Holy Cross Hospital NPI Number System Name Near North Address 1276 N. Clybourn Ave City, State, Zip Chicago, IL Tel Fax NEAR NORTH HEALTH SERV KOMED NPI Number System Name Sinai Health System Address 2701 West 68th St City, State, Zip Chicago, IL Tel Fax Jackson Park Hospital NPI Number System Name Near North Address 4259 S BERKELEY City, State, Zip Chicago, IL Tel Fax TCA Health NPI Number System Name Jackson Park Hospital Address 7531 Stony Island Ave. City, State, Zip Chicago, IL Tel Fax NO MAIN FAX Loretto Hospital NPI Number System Name TCA Health Address 1029 E. 130th St City, State, Zip Chicago, IL Tel Fax General Hospital NPI Number System Name Loretto Hospital Address 645 S. Central Ave City, State, Zip Chicago, IL Tel Fax Mount Sinai Hospital NPI Number System Name Sinai Health System Address 1500 South California Ave City, State, Zip Chicago, IL Tel Fax NO MAIN FAX Page 11 of 23

12 General Hospital Home Health Northwest Community Hospital Addus Healthcare Chicago NPI Number System Name Northwest Community Hospital Address 800 W Central Rd City, State, Zip Arlington Heights, IL Tel Fax Norwegian-American Hospital NPI Number System Name Addus Healthcare Inc. Address 14 E Jackson Blvd #902 City, State, Zip Chicago, IL Tel Fax Addus Healthcare Chicago South NPI Number System Name Norwegian-American Hospital Address 1044 North Francisco Avenue City, State, Zip Chicago, IL Tel Fax Roseland Community Hospital NPI Number System Name Addus Healthcare Inc. Address 9259 S. Western Ave City, State, Zip Chicago, IL Tel Fax Addus Healthcare Hillside NPI Number System Name Roseland Community Hospital Address 45 West 111th St City, State, Zip Chicago, IL Tel Fax NO MAIN FAX South Shore Hospital NPI Number System Name Addus Healthcare Inc. Address 6817 Windsor Ave City, State, Zip Berwyn, IL Tel Fax Addus Healthcare Niles NPI Number System Name South Shore Hospital Address 812 S. Crandon Ave City, State, Zip Chicago, IL Tel Fax NPI Number System Name Addus Healthcare Inc. Address 7900 Milwaukee Ave #2-21A City, State, Zip Niles, IL Tel Fax Page 12 of 23

13 Home Health Home Health Addus Healthcare Palos Heights Awakened Alternatives Companies NPI Number System Name Addus Healthcare Inc. Address 7600 College Dr City, State, Zip Palos Heights, IL Tel Fax Addus Healthcare South Cook Home NPI Number System Name Address 3235 Vollmer Road Ste 200 City, State, Zip Flossmoor, IL Tel Fax Beatrice Home Health NPI Number System Name Addus Healthcare Inc. Address 1800 Ridge Rd Suite 2E City, State, Zip Homewood, IL Tel Fax At Home Health Inc. NPI Number System Name Beatrice Home Health Address 4012 W North Ave City, State, Zip Chicago, IL Tel Fax Central Healthcare Iinc. NPI Number System Name At Home Health Inc. Address 344 W Peterson Ave Suite 104 City, State, Zip Chicago, IL Tel Fax Awakened Alternatives NPI Number System Name Central Healthcare Iinc. Address 4751 S Central Ave City, State, Zip Chicago, IL Tel Fax Classic Care Health Services, Inc. NPI Number System Name Awakened Alternatives Address 3235 Vollmer Rd Suite 200 City, State, Zip Flossmor, IL Tel Fax NPI Number System Name Address 3651 West 183rd St City, State, Zip Hazel Crest, IL Tel Fax Page 13 of 23

14 Home Health Home Health Comprehensive Quality Care Inc. Kingsway Home Health Services NPI Number System Name Comprehensive Quality Care Inc. Address 3715 S. King Dr City, State, Zip Chicago, IL Tel Fax Great Paragon Health Care Inc. NPI Number System Name Kingsway Home Health Services Inc Address 7115 N. Ridge Blvd City, State, Zip Chicago, IL Tel Fax Physicians Preferred Home Care NPI Number System Name Great Paragon Health Care Inc. Address 2640 W Touhy Ave STE City, State, Zip Chicago, IL Tel Fax Hellenic Foundation NPI Number System Name Hellenic Foundation Address 6251 W. Touhy Ave. City, State, Zip Chicago, IL, IL Tel Fax Home Bound Health NPI Number System Name Physicians Preferred Home Care Inc Address 9732 Southwest Hwy City, State, Zip Oaklawn, IL Laboratories Tel Fax LABORATORY CORPORATION OF AMERICA HOLDINGS NPI Number System Name LABORATORY CORPORATION OF AMERICA HOLDINGS Address 1634 W POLK ST City, State, Zip CHICAGO, IL Tel Fax NPI Number System Name Home Bound Healthcare Address 1615 Vollmer Rd City, State, Zip Flossmor, IL Tel Fax Page 14 of 23

15 Laboratories Laboratories LABORATORY CORPORATION OF AMERICA HOLDINGS NPI Number System Name LABORATORY CORPORATION OF AMERICA HOLDINGS Address 7447 W TALCOTT AVE City, State, Zip CHICAGO, IL Tel Fax Quest Diagnostics Quest Diagnostics NPI Number System Name QUEST DIAGNOSTICS LLC IL Address 8915 W GOLF RD City, State, Zip NILES, IL Tel Fax Quest Diagnostics NPI Number System Name QUEST DIAGNOSTICS LLC IL Address 1632 W CENTRAL RD City, State, Zip ARLINGTON HEIGHTS, IL Tel Fax Quest Diagnostics NPI Number System Name QUEST DIAGNOSTICS LLC IL Address 4747 W PETERSON AVE Suite 204 City, State, Zip CHICAGO, IL Tel Fax Quest Diagnostics NPI Number System Name QUEST DIAGNOSTICS LLC IL Address 506 E STATE PKWY City, State, Zip SCHAUMBURG, IL Tel Fax Quest Diagnostics NPI Number System Name QUEST DIAGNOSTICS LLC IL Address 3633 W LAKE AVE Suite 201 City, State, Zip GLENVIEW, IL Tel Fax Long Term Acute Care Hospital NPI Number System Name QUEST DIAGNOSTICS LLC IL Address TORRENCE AVE Suite 420 City, State, Zip LANSING, IL Tel Fax Page 15 of 23

16 Long Term Acute Care Hospital Orthotics and Prosthetics RML Chicago Clear Sounds NPI Number System Name RML Health Providers Limited Partnership Address 3435 West Van Buren Street City, State, Zip Chicago, IL Tel Fax NO MAIN FAX Occupational Therapy Helping Hand Center NPI Number System Name Helping Hand Center Address 9649 W. 55th Street City, State, Zip Countryside, IL Tel Fax Orthotics and Prosthetics Ballert Orthopedic NPI Number System Name Address 2434 W Peterson Ave City, State, Zip Chicago, IL Tel Fax NPI Number System Name Clear Sounds Address 4551 Oakton St City, State, Zip Skokie, IL Tel Fax Robert B Scott Ocularists NPI Number System Name Robert B Scott Ocularists Address 111 N. Wabash Ave Suite 1620 City, State, Zip Chicago, IL Tel Fax Outpatient Infusion Pri-Med Infusion Services NPI Number System Name Pri-Med Infusion Services Address 5517 N. Cumberland Ave Suite 915 City, State, Zip Chicago, IL Tel Fax Pediatric Hospital Page 16 of 23

17 Pediatric Hospital Psychiatric Hospital La Rabida Children's Hospital Garfield Park Behavioral Hospital NPI Number System Name La Rabida Children's Hospital Address 6501 S. Promontory Drive City, State, Zip Chicago, IL Tel Fax Physcial Therapy Helping Hand Center NPI Number System Name Helping Hand Center Address 9649 W. 55th Street City, State, Zip Countryside, IL Tel Fax Psychiatric Hospital Aurora Chicago Lakeshore Hospital NPI Number System Name Aurora Chicago Lakeshore Hospital LLC Address 4840 N. Marine Drive City, State, Zip Chicago, IL Tel Fax NPI Number System Name Garfield Park Behavioral Hospital LLC Address 520 N Ridgeway Ave City, State, Zip Chicago, IL Tel Fax Hartgrove Hospital NPI Number System Name United Hospital Services Address 5730 West Roosevelt Road City, State, Zip Chicago, IL Tel Fax Pilsen Psychiatric Clinic & Associates LLC NPI Number System Name Address 3350 S Kedzie Ave City, State, Zip Chicago, IL Tel Fax Rehabilitative Hospital Page 17 of 23

18 Rehabilitative Hospital Skilled Nursing Facility Schwab Rehabilitation Hospital APERION CARE FOREST PARK NPI Number System Name Sinai Health System Address 1401 S. California Ave City, State, Zip Chicago, IL Tel Fax Skilled Nursing Facility APERION CARE Burbank NPI Number System Name Aperion Care Address 5701 W. 79th Street City, State, Zip Burbank, IL Tel Fax APERION CARE CHICAGO HEIGHTS NPI Number System Name Aperion Care Address 490 W 16TH PL City, State, Zip CHICAGO, IL Tel Fax NPI Number System Name Aperion Care Address 8200 W ROOSEVELT RD City, State, Zip FOREST PARK, IL Tel Fax APERION CARE INTERNATIONAL NPI Number System Name Aperion Care Address 4815 S WESTERN BLVD City, State, Zip CHICAGO, IL Tel Fax APERION CARE MIDLOTHIAN NPI Number System Name Aperion Care Address 3249 W 147TH ST City, State, Zip MIDLOTHIAN, IL Tel Fax APERION CARE OAK LAWN NPI Number System Name Aperion Care Address 9401 S RIDGELAND AVE City, State, Zip OAK LAWN, IL Tel Fax Page 18 of 23

19 Skilled Nursing Facility Skilled Nursing Facility APERION CARE Plum Grove California Gardens Nursing and Rehab NPI Number System Name Aperion Care Address 24 S. Plum Grove City, State, Zip Palatine, IL Tel Fax Balmoral Nursing Home NPI Number System Name California Gardens Corp Address 2829 S. California Blvd. City, State, Zip Chicago, IL Tel Fax Central Nursing Home LLC NPI Number System Name RREM INC Address 2055 Balmoral Ave City, State, Zip Chicago, IL Tel Fax Brentwood Sub-Acute Healthcare Center NPI Number System Name RREM INC Address 2450 N Central Ave City, State, Zip Chicago, IL Tel Fax Chicago Ridge Nursing and Rehab NPI Number System Name Sava Senior Care Address 5400 W 87th St City, State, Zip Burbank, IL Tel Fax Brightview Healthcare & Rehabilitation Center NPI Number System Name RREM INC Address SW Highway City, State, Zip Chicago Ridge, IL Tel Fax Evanston Nursing and Rehab LLC NPI Number System Name Brightview Care Center Inc. Address 4538 N Beacon St City, State, Zip Chicago, IL Tel Fax NPI Number System Name Aperion Care Address 1300 Oak Ave City, State, Zip Evanston, IL Tel Fax Page 19 of 23

20 Skilled Nursing Facility Skilled Nursing Facility Forest Villa Nursing and Rehab ManorCare of Elk Grove Village NPI Number System Name Friend Family Health Center Address 6840 W. Touhy Ave. City, State, Zip Niles, IL Tel Fax Imperial of Lincoln Park NPI Number System Name ManorCare Health Services LLC Address 1920 Nerge Rd City, State, Zip Elk Grove Village, IL Tel Fax ManorCare of Homewood NPI Number System Name Symphony Lincoln Park LLC. Address 1366 W. Fullerton Ave. City, State, Zip Chicago, IL Tel Fax Jackson Square Skilled Nursing & Living Center NPI Number System Name ManorCare Health Services LLC Address 940 Maple Ave City, State, Zip Homewood, IL Tel Fax ManorCare of Northbrook NPI Number System Name Symphony Jackson Square LLC. Address 5130 W. Jackson Blvd. City, State, Zip Chicago, IL Tel Fax ManorCare at Arlington Heights NPI Number System Name ManorCare Health Services LLC Address 3300 Milwaukee Ave City, State, Zip Northbrook, IL Tel Fax ManorCare of Oak Lawn East NPI Number System Name ManorCare Health Services LLC Address 715 W Central Rd City, State, Zip Arlington Heights, IL Tel Fax NPI Number System Name ManorCare Health Services LLC Address 9401 S Kostner Ave City, State, Zip Oak Lawn, IL Tel Fax Page 20 of 23

21 Skilled Nursing Facility Skilled Nursing Facility ManorCare of Oak Lawn West ManorCare of South Holland NPI Number System Name ManorCare Health Services LLC Address 6300 W 95th St City, State, Zip Oak Lawn, IL Tel Fax ManorCare of Palos Heights East NPI Number System Name ManorCare Health Services LLC Address 2145 E 170th St City, State, Zip South Holland, IL Tel Fax Mayfield Healthcare and Rehabilitation Center NPI Number System Name ManorCare Health Services LLC Address 2850 W College Dr City, State, Zip Palos Heights, IL Tel Fax ManorCare of Palos Heights West NPI Number System Name Mayfield Care Center Address 5905 W Washington City, State, Zip Chicago, IL Tel Fax Symphony Crestwood NPI Number System Name ManorCare Health Services LLC Address Southwest Highway City, State, Zip Palos Heights, IL Tel Fax ManorCare of Rolling Meadows NPI Number System Name Symphony Crestwood, LLC Address S. Cicero Avenue City, State, Zip Crestwood, IL Tel Fax Symphony of Beverly NPI Number System Name ManorCare Health Services LLC Address 4225 Kirchoff Rd City, State, Zip Rolling Meadows, IL Tel Fax NPI Number System Name Symphony Beverly LLC. Address 2940 W. 87th Street City, State, Zip Chicago, IL Tel Fax Page 21 of 23

22 Skilled Nursing Facility Skilled Nursing Facility Symphony of Bronzeville Park Symphony of South Shore NPI Number System Name Symphony Bronzeville Park, LLC. Address 3400 S. Indiana Ave. City, State, Zip Chicago, IL Tel Fax Symphony of Evanston NPI Number System Name Symphony South Shore, LLC. Address 2425 E. 71st St. City, State, Zip Chicago, IL Tel Fax Symphony Park South NPI Number System Name Symphony Evanston Healthcare, LLC Address 820 Foster Ave. City, State, Zip Evanston, IL Tel Fax Symphony of Hanover Park NPI Number System Name Symphony Park South LLC. Address S. Halsted St. City, State, Zip Chicago, IL Tel Fax Westchester Health and Rehabilitation Center NPI Number System Name Symphony Hanover Park LLC. Address 2000 W. Lake Street City, State, Zip Hanover Park, IL Tel Fax Symphony of Midway NPI Number System Name Sava Senior Care Address 2901 S. Wolf Rd City, State, Zip Westchester, IL Tel Fax Winston Manor Nursing Home NPI Number System Name Symphony Midway LLC. Address 4437 S. Cicero Ave. City, State, Zip Chicago, IL Tel Fax NPI Number System Name RREM INC Address 2155 W. Pierce City, State, Zip Chicago, IL Tel Fax Page 22 of 23

23 Speech Therapy BNM Professional Consulting NPI Number System Name BNM Professional Counsuling Address 4747 W. LINCOLN MALL DR. Suite 302 City, State, Zip MATTESON, IL Tel Fax Helping Hand Center NPI Number System Name Helping Hand Center Address 9649 W. 55th Street City, State, Zip Countryside, IL Tel Fax Page 23 of 23