Organization
OAK PARK HEALTHCARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIE SHAN-MARTIN (CONTROLLER)
84790540626
Entity
Organization
Contact information
Practice address
625 N HARLEM AVE, OAK PARK, IL 60302-1805
(708) 848-5966
(708) 848-1257
Mailing address
2201 MAIN ST, EVANSTON, IL 60202-1519
(847) 905-4026
(847) 905-4040
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
004460
IL
Other
Enumeration date
02/21/2007
Last updated
04/13/2010
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