Organization
B&D HOTEL CORPORATION
Active
Other names
Central Plaza Residential Home
Organization subpart
No
Provider details
NPI number
Authorized official
ELISA JEAN SHLOFROCK-ZUSMAN (VP DIRECTOR OF FINANCE)
(847) 441-8200
Entity
Organization
Contact information
Practice address
321 N CENTRAL AVE, CHICAGO, IL 60644-2227
(773) 626-2300
(773) 626-7647
Mailing address
465 CENTRAL AVE, SUITE 100, NORTHFIELD, IL 60093-3045
(847) 441-8200
(847) 441-0800
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
1715281
IL
Other
Enumeration date
06/28/2006
Last updated
07/26/2016
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