NPI
Wisconsin Illinois Senior Housing Inc.
Phone (815) 455-0550 · Fax (815) 356-3846 · NPI 1780673954
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2005-10-19
- Last updated
- 2020-05-13
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Specialties
Licenses
- License IL
- 0040915
Location
- Practice location
- 471 W Terra Cotta Ave
- City
- Crystal Lake IL
- Postal code
- 60014-3434
- Phone
- (815) 455-0550
- Fax
- (815) 356-3846
Organization contact
- Name
- Stephanie Sherman
- Title
- Medicare Program Monitor
- Phone
- (303) 980-0611
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Skilled Nursing Facility providers in Crystal Lake, IL. 8 with this primary taxonomy in the public file.
Other NPIs in Crystal Lake, IL. 1,916 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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