Organization
PRAIRIE CREEK VILLAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS WINTER CPA (CFO)
(847) 675-7979
Entity
Organization
Contact information
Practice address
2530 N MONROE ST, DECATUR, IL 62526-3249
(217) 875-0920
(217) 876-9351
Mailing address
6840 N LINCOLN AVE, LINCOLNWOOD, IL 60712-2628
(847) 674-5200
(847) 675-0555
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IL
Other
Enumeration date
01/09/2018
Last updated
09/15/2021
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