Organization
GROVE OF LAGRANGE PARK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAIM RAJCHENBACH (OWNER)
(847) 679-9797
Entity
Organization
Contact information
Practice address
701 N LA GRANGE RD, LA GRANGE PARK, IL 60526-1520
(708) 354-7300
(708) 354-8928
Mailing address
701 N LA GRANGE RD, LA GRANGE PARK, IL 60526-1520
(708) 354-7300
(708) 354-8928
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IL
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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