LTC PRACTITIONERS OF ILLINOIS

Skilled Nursing Facility

OIG CLEARNPI VERIFIED

Location

CHICAGO, IL

Licensed since

2012

Rate

—

Federal identifiers

NPI registry number1821355561

Agency details

Medicare activity

StatusNo Medicare utilization on file — neutral.

Authorized official

NameSUE WILSON

TitleNURSE PRACTITIONER

Phone7734014412

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Source: NPI Registry · Last refreshed June 24, 2026