Organization
PARK RIDGE CARE CENTER, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARSHALL A MAUER (ASST SECRETARY)
(847) 679-8219
Entity
Organization
Contact information
Practice address
665 BUSSE HWY, PARK RIDGE, IL 60068-2523
(847) 825-5517
(847) 825-5596
Mailing address
3359 MAIN ST, SKOKIE, IL 60076-2432
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0039255
IL
Other
Enumeration date
12/29/2005
Last updated
01/03/2012
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