Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bayside Terrace LLC

Organization Mental Illness Intermediate Care Facility · NPI 1912029521

Bayside Terrace LLC is a Mental Illness Intermediate Care Facility in Waukegan, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1100 S Lewis Ave
Waukegan, IL 60085-7710
Phone: (847) 244-8196
Fax: (847) 244-7647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Intermediate Care Facility (primary) Taxonomy 310500000X · Licence 0023036 (IL)

Record details

NPI number1912029521
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Demetria Rafael — Administrator · (847) 244-8196
NPI enumeratedApril 4, 2007
Last updated in NPPESJuly 20, 2016
Mailing address1100 S Lewis Ave, Waukegan, IL 60085-7710

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