Organization
AVANTARA PARK RIDGE LLC
Active
Other names
Avantara Park Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FRANCES MEEHAN (ATTORNEY)
(312) 521-2467
Entity
Organization
Contact information
Practice address
1601 N WESTERN AVE, PARK RIDGE, IL 60068-1233
(847) 825-5531
(847) 316-6659
Mailing address
7040 N RIDGEWAY AVE, LINCOLNWOOD, IL 60712-2620
(847) 825-5531
(847) 316-6659
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IL
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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