Organization
EVERGREEN LIVING & REHAB CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REUVEN LEVITIN (ACCOUNTS RECEIVABLE MANAGER)
(847) 676-5342
Entity
Organization
Contact information
Practice address
10124 S KEDZIE AVE, EVERGREEN PARK, IL 60805-3738
(708) 907-7000
Mailing address
7040 N RIDGEWAY AVE, LINCOLNWOOD, IL 60712-2620
(847) 679-9797
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/15/2013
Last updated
12/05/2013
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