Organization
PETERSON PARK ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MENACHEM SHABAT (ADMINISTRATOR)
(773) 478-2000
Entity
Organization
Contact information
Practice address
6141 N PULASKI RD, CHICAGO, IL 60646-5215
(773) 478-2000
Mailing address
6141 N PULASKI RD, CHICAGO, IL 60646-5215
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0024463
IL
Other
Enumeration date
06/21/2005
Last updated
05/27/2022
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