Forty Six Twenty One Corporation Inc

NPI 1871580126 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1871580126
Enumeration Date 10/03/2005
Last Updated 03/11/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name PETER J PETER
Position VICE PRESIDENT
Phone (773) 784-2300
Fax (773) 769-4621
Practice Location
4621 N RACINE AVE
CHICAGO IL, 60640-4905, US
Phone (773) 784-2300
Fax (773) 769-4621
Business Location
1541 N WELLS ST
CHICAGO IL, 60610, US
Phone (312) 787-9400
Fax (312) 787-9434
Toxanomy
Taxonomy Code 314000000X
License State
License Number 0023770
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According to our database, Forty Six Twenty One Corporation Inc NPI is 1871580126, taxonomy code is 314000000X and license number is 0023770, license state is located at . Forty Six Twenty One Corporation Inc physically located at 4621 N Racine Ave, Chicago IL, 60640-4905. NPI Number 1033115704 has the healthcare provider type.

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1871580126 NPI number is provided on an as is basis without warranty of any kind. 1871580126 is maintained by the National Plan & Provider Enumeration System. The contents of Forty Six Twenty One Corporation Inc are for informational purposes only.