Organization
OAKTON PAVILLION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY LEWKOWITZ CNHA (EXECUTIVE DIRECTOR)
(847) 299-5588
Entity
Organization
Contact information
Practice address
1660 OAKTON PL, DES PLAINES, IL 60018-2045
(847) 299-5588
(847) 493-6525
Mailing address
1660 OAKTON PL, DES PLAINES, IL 60018-2045
(847) 299-5588
(847) 493-6525
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0025056
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0025056
—
IL
Enumeration date
10/03/2005
Last updated
12/05/2011
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