Organization
FOREST PARK, L.L.C.
Active
Other names
Pavillion of Forest Park, L.L.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK STEINBERG (CHIEF OPERATING OFFICER)
(847) 905-3000
Entity
Organization
Contact information
Practice address
8200 ROOSEVELT RD, FOREST PARK, IL 60130-2528
(708) 488-9850
(708) 488-9870
Mailing address
8200 ROOSEVELT RD, FOREST PARK, IL 60130-2528
(708) 488-9850
(708) 488-9870
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0043778
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1192
BLUE CROSS BLUE SHIELD
IL
05
—
364186094001
—
IL
Enumeration date
03/12/2007
Last updated
06/26/2008
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