Organization
PARK HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIE SHAN-MARTIN (CONTROLLER)
(847) 329-1555
Entity
Organization
Contact information
Practice address
2320 S LAWNDALE AVE, CHICAGO, IL 60623-3154
(773) 522-0400
Mailing address
8320 SKOKIE BLVD, SKOKIE, IL 60077-2545
(847) 329-1555
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0034991
IL
Other
Enumeration date
02/21/2007
Last updated
08/22/2020
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