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Organization

PRAIRIE CROSSING LIVING AND REHABILITATION CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MOSHE HERMAN (MEMBER)
(847) 982-2300
Entity
Organization

Contact information

Practice address
7434 SKOKIE BLVD, SKOKIE, IL 60077-3341
(847) 982-2300
(847) 982-2304
Mailing address
409 W COMANCHE AVE, SHABBONA, IL 60550-9790
(815) 824-2194
(815) 824-2188

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary

Other

Enumeration date
11/25/2013
Last updated
11/25/2013
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