Wood Glen Pavilion, Llc

NPI 1508074667 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1508074667
Enumeration Date 05/20/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BEN BEN
Position MANAGER
Phone (847) 329-4100
Fax
Practice Location
7444 LONG AVE
SKOKIE IL, 60077-3214, US
Phone (847) 329-4100
Fax
Business Location
201 W NORTH AVE
WEST CHICAGO IL, 60185-6224, US
Phone (630) 876-8100
Fax
Toxanomy
Taxonomy Code 314000000X
License State Illinois
License Number 0043935
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According to our database, Wood Glen Pavilion, Llc NPI is 1508074667, taxonomy code is 314000000X and license number is 0043935, license state is located at Illinois. Wood Glen Pavilion, Llc physically located at 7444 Long Ave, Skokie IL, 60077-3214. NPI Number 1033115704 has the healthcare provider type.

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1508074667 NPI number is provided on an as is basis without warranty of any kind. 1508074667 is maintained by the National Plan & Provider Enumeration System. The contents of Wood Glen Pavilion, Llc are for informational purposes only.