Organization
COMMUNITY CARE OPERATOR LLC
Active
Other names
community care center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AVRUM WEINFELD (CFO)
(847) 674-5795
Entity
Organization
Contact information
Practice address
4314 S WABASH AVE, CHICAGO, IL 60653-3119
(773) 538-8300
(773) 538-5775
Mailing address
6865 N LINCOLN AVE, LINCOLNWOOD, IL 60712-4611
(847) 674-5795
(847) 674-5794
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0029132
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363327511001
—
IL
Enumeration date
10/16/2006
Last updated
08/22/2020
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