Organization
SKOKIE MEADOWS LLC
Active
Other names
Skokie Meadows
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLA GRAF (CFO)
(224) 470-2044
Entity
Organization
Contact information
Practice address
4600 GOLF RD, SKOKIE, IL 60076-1210
(847) 679-1157
(847) 626-0432
Mailing address
3755 CHASE AVE, SKOKIE, IL 60076-4008
(224) 470-2044
(224) 470-2952
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0054312
—
IL
Enumeration date
12/23/2019
Last updated
10/21/2020
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