THE WOODBINE – Skilled Nursing Facility, NPI 1093704165

THE WOODBINE is a healthcare provider. based in Chicago, Illinois. specializing in Skilled Nursing Facility. The organization holds a License No. 0044446 (IL). The NPI Number for THE WOODBINE is 1093704165

Main info

Organization
Name
THE WOODBINE
NPI
1093704165
Phone
(773) 202-0000
Address
4055 W PETERSON AVE
Authorized Official
MR. BARAK BAVER CFO
Enumeration Date
20 October 2005
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for THE WOODBINE

  • Alarmist Brewing & Taproom, 4055, West Peterson Avenue, Brynford Park, North Park, Chicago, Jefferson Township, Cook County, Illinois, 60646, United States

    SUITE 101

    CHICAGO, IL 606466182

    Phone: (773) 202-0000

    Fax: (773) 267-0111

    Type: Mailing

  • North Avenue, River Forest, Cook County, Illinois, 60707, United States

    OAK PARK, IL 603021008

    Phone: (708) 386-1112

    Fax: (708) 524-4818

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60646)

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Reviews

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Frequently asked questions

What unique ID ties claims to THE WOODBINE?
NPI 1093704165 is assigned to THE WOODBINE under the national enumeration system.
Is THE WOODBINE active in the national directory?
THE WOODBINE's public NPI profile is in an active state.
What field does THE WOODBINE work in?
You can think of THE WOODBINE as practicing within Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
Where is THE WOODBINE's primary listing?
We display Chicago, Illinois because that is what the record indicates for THE WOODBINE.
What if Chicago, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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