Organization
BUCKINGHAM PAVILION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARISA FRIDMAN (FINANCIAL MANAGER)
(773) 973-5333
Entity
Organization
Contact information
Practice address
2625 W TOUHY AVE, CHICAGO, IL 60645
(773) 373-5333
(773) 973-5222
Mailing address
2625 W TOUHY AVE, CHICAGO, IL 60645
(773) 373-5333
(773) 973-5222
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0019836
IL
Other
Enumeration date
07/09/2006
Last updated
08/22/2020
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