JACKSON PARK SUPPOTIVE LIVING – Assisted Living Facility, NPI 1396876439

JACKSON PARK SUPPOTIVE LIVING is a healthcare provider. based in Crestwood, Illinois. specializing in Assisted Living Facility. The NPI Number for JACKSON PARK SUPPOTIVE LIVING is 1396876439

Main info

Organization
Name
JACKSON PARK SUPPOTIVE LIVING
NPI
1396876439
Phone
(708) 371-4507
Address
4711 MIDLOTHIAN TPKE
Authorized Official
PATRICK FINN MEMBER
Enumeration Date
8 March 2007
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for JACKSON PARK SUPPOTIVE LIVING

  • 4711 MIDLOTHIAN TPKE

    SUITE 20

    CRESTWOOD, IL 604454900

    Phone: (708) 371-4507

    Fax: (708) 371-1761

    Type: Mailing

  • 1448 E 75TH ST

    CHICAGO, IL 606192125

    Phone: (773) 667-6500

    Fax: (773) 667-1875

    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 60445)

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Reviews

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Frequently asked questions

How do payers reference JACKSON PARK SUPPOTIVE LIVING?
For JACKSON PARK SUPPOTIVE LIVING, use NPI 1396876439 as the unique 10-digit identifier.
Is JACKSON PARK SUPPOTIVE LIVING still an active registrant?
JACKSON PARK SUPPOTIVE LIVING carries an active NPI according to the public dataset.
What clinical focus is listed for JACKSON PARK SUPPOTIVE LIVING?
At a glance, JACKSON PARK SUPPOTIVE LIVING is tied to Assisted Living Facility. Clinical services aligned with this taxonomy classification.
Where in Illinois is JACKSON PARK SUPPOTIVE LIVING registered?
Use Crestwood, Illinois as the headline location for JACKSON PARK SUPPOTIVE LIVING here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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