Organization
KENSINGTON PLACE NURSING AND REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YECHIEL MASHIACH (MANAGER)
(847) 905-4000
Entity
Organization
Contact information
Practice address
3405 S MICHIGAN AVE, CHICAGO, IL 60616-3819
(312) 791-0035
(312) 791-0626
Mailing address
3405 S MICHIGAN AVE, CHICAGO, IL 60616-3819
(312) 791-0035
(312) 791-0626
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
IL
314000000X
Skilled Nursing Facility
Primary
0050716
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270990816001
—
IL
Enumeration date
02/24/2010
Last updated
05/13/2019
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