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Organization

PRAIRIE OASIS, LLC

Active
Other names
Prairie Oasis
Organization subpart
No

Provider details

NPI number
Authorized official
SHIMON WEBSTER (MANAGING MEMBER)
(773) 945-1000
Entity
Organization

Contact information

Practice address
16000 WABASH AVE, SOUTH HOLLAND, IL 60473-1464
(708) 339-0600
Mailing address
8131 MONTICELLO AVE, SKOKIE, IL 60076-3325
(773) 945-1000

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
01/22/2018
Last updated
03/05/2018
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