Organization
THREE CROWNS PARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP HEMMER (EXECUTIVE DIRECTOR)
(847) 328-8700
Entity
Organization
Contact information
Practice address
2323 MCDANIEL AVE, EVANSTON, IL 60201-2549
(847) 328-8700
Mailing address
2323 MCDANIEL AVE, EVANSTON, IL 60201-2549
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
5102915
IL
313M00000X
Nursing Facility/Intermediate Care Facility
0012773
IL
314000000X
Skilled Nursing Facility
Primary
0012773
IL
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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