Organization
WOOD GLEN PAVILION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN KLEIN (MANAGER)
(847) 329-4100
Entity
Organization
Contact information
Practice address
7444 LONG AVE, SKOKIE, IL 60077-3214
(847) 329-4100
Mailing address
201 W NORTH AVE, WEST CHICAGO, IL 60185-6224
(630) 876-8100
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0043935
IL
Other
Enumeration date
05/20/2007
Last updated
08/22/2020
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