Organization
THE OLD PEOPLE'S HOME OF THE CITY OF CHICAGO
Active
Other names
The Admiral at the Lake
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN BRICHACEK PH.D. (PRESIDENT/CEO)
(773) 561-2900
Entity
Organization
Contact information
Practice address
909 W FOSTER AVE, CHICAGO, IL 60640-6481
(773) 654-5077
(773) 561-2573
Mailing address
1630 W MONTROSE AVE, CHICAGO, IL 60613-1214
(773) 561-2900
(773) 561-2573
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
IL
Other
Enumeration date
12/31/2006
Last updated
07/21/2022
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