CCN: 146102 NPI: 1053320994 Organization

MANOR COURT OF FREEPORT

2170 W NAVAJO DR
FREEPORT, IL 610327811

Contact Information

Phone 8152332400
Fax 8152970767
Enumeration Date 2006-08-07
Last Updated 2008-04-15

Taxonomies

Code: 314000000X (Primary) License State: IL License: 0046839

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 0.9953510555

censusDivision 3

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 1.0020078931

censusDivision 4

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 0.9811016017

censusDivision 4

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 0.992

censusDivision 4

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 0.992

censusDivision 4

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 0.9866151889

censusDivision 4

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 0.9808866404

censusDivision 4

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 0.9802457176

censusDivision 4

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 0.9802457176

censusDivision 4

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 0.9802457176

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.