Organization
LAKE ZURICH SKILLED NURSING FACILITY LLC
Active
Other names
Avantara Lake Zurich
Organization subpart
No
Provider details
NPI number
Authorized official
MORDECHAY NINIO (CFO)
(847) 676-5315
Entity
Organization
Contact information
Practice address
900 S RAND RD, LAKE ZURICH, IL 60047-2450
(847) 726-1200
(847) 726-1265
Mailing address
3450 OAKTON ST, SKOKIE, IL 60076-2951
(847) 679-9797
(847) 679-1126
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
06/21/2021
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