Organization
RENAISSANCE PARK SOUTH, LLC
Active
Other names
The Renaissance at Halsted, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID HARTMAN (MANAGER)
(847) 933-2600
Entity
Organization
Contact information
Practice address
10935 S HALSTED ST, CHICAGO, IL 60628-3127
(773) 928-2000
(773) 928-9670
Mailing address
7257 N. LINCOLN AVE, LINCOLNWOOD, IL 60712
(847) 933-2600
(773) 928-9670
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/20/2007
Last updated
08/13/2015
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