NPI

Heritage Manor Elgin, Llc

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2005-10-28
Last updated
2014-05-27

Specialties

Licenses

License IL
0048132
License IL
48132

Location

Practice location
355 Raymond St
City
Elgin IL
Postal code
60120-7875
Phone
(847) 697-6636

Organization contact

Name
DAVID UNDERWOOD
Title
Sr. VP & CFO
Phone
3098284361

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Other NPIs in Elgin, IL. 3,020 records in the public file.

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