OrganizationActive
4621 Corporation
NPI 1871580126 · Skilled Nursing Facility · Chicago, IL
Provider details
- NPI number
- 1871580126
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Peter Obrien, President(312) 787-9400
- License
- 0023770
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
4621 N Racine Ave
Chicago, IL 60640-4905
Phone: (773) 784-2300
Fax: (773) 769-4621
Approximate (ZIP-level) locationGet directions
Mailing address
405 N Wabash Ave Ste P2w
Chicago, IL 60611-3541
Other names (DBA / former)
- Doing business as
- Mado Healthcare - Uptown
Registry dates
- Enumerated
- 2005-10-03
- Last updated
- 2019-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.