Organization
CITADEL OF BOURBONNAIS LLC
Active
Other names
The Citadel of Bourbonnais
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLA GRAF (CFO)
(224) 470-2044
Entity
Organization
Contact information
Practice address
20 BRIARCLIFF LN, BOURBONNAIS, IL 60914-1665
(815) 937-2022
(815) 936-3231
Mailing address
3755 CHASE AVE, SKOKIE, IL 60076-4008
(224) 470-2044
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0041723
—
IL
Enumeration date
09/28/2020
Last updated
11/04/2025
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