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

Countryside Healthcare

Organization Skilled Nursing Facility · NPI 1750426144

Countryside Healthcare is a Skilled Nursing Facility in Dolton, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

1635 E 154th St
Dolton, IL 60419-3001
Phone: (708) 841-9550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 0036632 (IL)

Record details

NPI number1750426144
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennie Shan-Martin — Controller · (847) 329-1555
NPI enumeratedFebruary 21, 2007
Last updated in NPPESAugust 22, 2020
Mailing address8320 Skokie Blvd, Skokie, IL 60077-2545

Other providers in Dolton