Organization
MHC ILLINOIS INC
Active
Other names
Lasalle Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THEODORE M DUAY III C.P.A. (CHIEF FINANCIAL OFFICER)
(786) 888-3310
Entity
Organization
Contact information
Practice address
1445 CHARTRES ST, LA SALLE, IL 61301-1508
(815) 223-4700
Mailing address
1055 NE 125TH ST, NORTH MIAMI, FL 33161-5804
(786) 888-3310
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/07/2006
Last updated
08/17/2018
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