Organization
SHARON HEALTHCARE WILLOWS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISA J. SHLOFROCK (DIRECTOR OF FINANCE)
(847) 441-8200
Entity
Organization
Contact information
Practice address
465 CENTRAL AVE, NORTHFIELD, IL 60093-3045
(847) 441-8200
Mailing address
3520 N ROCHELLE LN, PEORIA, IL 61604-1037
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0032797
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215965694
—
IL
Enumeration date
10/24/2016
Last updated
10/24/2016
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