# PRESBYTERIAN HOMES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124343157
- **Authorized official:** MR. ROBERT LANDSMAN (VICE PRESIDENT OF FINANCE)
- **Authorized official phone:** (847) 492-4856

## Contact information

- **Practice address:** 3200 GRANT ST, EVANSTON, IL 60201-1903
- **Practice address phone:** (847) 492-4800
- **Practice address fax:** (847) 316-8723
- **Mailing address:** 3200 GRANT ST, EVANSTON, IL 60201-1903
- **Mailing address phone:** (847) 492-4800
- **Mailing address fax:** (847) 316-8723

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |
| 310400000X | Assisted Living Facility | 0012930 | IL | — |

## Other

- **Enumeration date:** 04/01/2010
- **Last updated:** 04/01/2010