Organization
PEARL OF MONTCLARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EITAN ZEFFREN (AUTHORIZED OFFICIAL)
(773) 622-6144
Entity
Organization
Contact information
Practice address
2833 N NORDICA AVE, CHICAGO, IL 60634-4726
(773) 622-6144
(773) 622-8261
Mailing address
4711 GOLF RD STE 200, SKOKIE, IL 60076-1236
(847) 933-9280
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/12/2023
Last updated
07/07/2023
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