Organization
EAST PEORIA GARDENS HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE SPECTOR-MAMMOSER (MEDICARE SUPERVISOR)
(847) 329-1555
Entity
Organization
Contact information
Practice address
1910 SPRINGFIELD RD, EAST PEORIA, IL 61611-4343
(847) 329-1555
Mailing address
8320 SKOKIE BLVD, SKOKIE, IL 60077-2545
(847) 329-1555
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0045492
IL
Other
Enumeration date
02/21/2007
Last updated
07/22/2008
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