Organization
BALMORAL HOME INC
Active
Other names
Balmoral Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YONATHAN M STERN (ADMINISTRATOR)
(773) 561-8661
Entity
Organization
Contact information
Practice address
2055 W BALMORAL AVE, CHICAGO, IL 60625-1001
(773) 561-8661
(773) 561-9376
Mailing address
6500 N HAMLIN AVE, LINCOLNWOOD, IL 60712-3904
(847) 679-7484
(847) 679-7484
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
000039966
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1012
BLUECROSS BLUESHIELD
IL
Enumeration date
06/12/2005
Last updated
01/13/2022
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