Organization
CHICAGO RIDGE SKILLED NURSING FACILITY LLC
Active
Other names
Avantara Chicago Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
MORDECHAY NINIO (CFO)
(847) 676-5315
Entity
Organization
Contact information
Practice address
10300 SOUTHWEST HWY, CHICAGO RIDGE, IL 60415-1426
(708) 425-1100
(708) 425-0779
Mailing address
3450 OAKTON ST, SKOKIE, IL 60076-2951
(847) 679-9797
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
06/21/2021
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