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

Ltc Practitioners of Illinois

Organization Skilled Nursing Facility · NPI 1821355561

Ltc Practitioners of Illinois is a Skilled Nursing Facility in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012

Practice location Address checks out

3915 N Kenneth Ave
Chicago, IL 60641-2816
Phone: (773) 401-4412
Fax: (312) 492-6269
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 209009340 (IL)

Record details

NPI number1821355561
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sue Wilson — Nurse Practitioner · (773) 401-4412
NPI enumeratedApril 19, 2012
Last updated in NPPESApril 19, 2012
Mailing address3915 N Kenneth Ave, Chicago, IL 60641-2816

Other providers in Chicago