Organization
GILMAN HEALTHCARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARAK BAVER (MANAGER)
(312) 206-9079
Entity
Organization
Contact information
Practice address
1390 S CRESCENT ST, GILMAN, IL 60938-6129
(815) 265-7208
Mailing address
2824 W COYLE AVE, CHICAGO, IL 60645-2922
(312) 206-9079
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-5347
MEDICARE
—
Enumeration date
07/29/2008
Last updated
07/29/2008
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