Organization
SOVEREIGN HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LUBOWSKY (BOOKKEEPER)
(847) 679-7484
Entity
Organization
Contact information
Practice address
6159 N KENMORE AVE, CHICAGO, IL 60660-2722
(773) 761-9050
(773) 761-9055
Mailing address
6500 N HAMLIN, LINCOLNWOOD, IL 60712
(847) 679-7484
(847) 679-7494
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
IL
Other
Enumeration date
06/21/2005
Last updated
08/22/2020
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