Organization
NAPERVILLE MANOR HRC LLC
Active
Other names
Naperville Manor Health & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM ROTHNER (MANAGER)
(847) 905-4000
Entity
Organization
Contact information
Practice address
200 MARTIN AVE, NAPERVILLE, IL 60540-6516
(630) 355-4111
Mailing address
2201 MAIN ST, EVANSTON, IL 60202-1519
(847) 905-3000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0055079
IL DEPARTMENT OF PUBLIC HEALTH
IL
Enumeration date
10/30/2018
Last updated
12/03/2018
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