Organization
HICKORY NURSING PAVILION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD WENGROW (OWNER)
(708) 598-4040
Entity
Organization
Contact information
Practice address
9246 S ROBERTS RD, HICKORY HILLS, IL 60457-2066
(708) 598-4040
(708) 598-3796
Mailing address
3737 W ARTHUR AVE, LINCOLNWOOD, IL 60712-4029
(847) 679-2121
(847) 679-2122
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0032029
IL
Other
Enumeration date
09/09/2005
Last updated
06/02/2016
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