Organization
PRESIDENTIAL PAVILION,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AVRUM WEINFELD (CEO)
(847) 674-5795
Entity
Organization
Contact information
Practice address
8001 S WESTERN AVE, CHICAGO, IL 60620-5930
(773) 436-6600
(773) 471-1661
Mailing address
8001 S WESTERN AVE, CHICAGO, IL 60620-5930
(773) 436-6600
(773) 471-1661
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0045526
IL
Other
Enumeration date
03/14/2006
Last updated
08/22/2020
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