Organization
LACON REHAB AND NURSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAIM MILLMAN (CEO)
(845) 414-3300
Entity
Organization
Contact information
Practice address
401 9TH ST, LACON, IL 61540-1140
(309) 246-2175
(309) 246-3609
Mailing address
7B MEDICAL PARK DR, POMONA, NY 10970-3516
(845) 414-3300
(845) 517-4796
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6008999
—
IL
Enumeration date
04/07/2020
Last updated
04/07/2020
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