Organization
SHABBONA HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOE HERMAN (COMPTROLLER)
(847) 982-2300
Entity
Organization
Contact information
Practice address
409 W COMANCHE AVE, SHABBONA, IL 60550-9790
(815) 824-2194
(815) 824-2188
Mailing address
7434 SKOKIE BLVD, SKOKIE, IL 60077-3341
(847) 982-2300
(847) 982-2304
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
19743841
IL
Other
Enumeration date
11/11/2005
Last updated
10/13/2009
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