Organization
PRAIRIE CROSSING LIVING & REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOSHE HERMAN (MEMBER)
(847) 982-2300
Entity
Organization
Contact information
Practice address
409 W COMANCHE AVE, SHABBONA, IL 60550-9790
(815) 824-2194
(815) 824-2188
Mailing address
4950 MADISON ST STE 429, SKOKIE, IL 60077-2570
(847) 982-2300
(847) 982-2304
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0052126
IL
Other
Enumeration date
01/07/2013
Last updated
07/25/2024
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