Organization
KENWOOD VILLAGE NURSING AND REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAKE MASHIACH (AUTHORIZED SIGNATORY)
(773) 285-0550
Entity
Organization
Contact information
Practice address
4505 S DREXEL BLVD, CHICAGO, IL 60653-4301
(773) 285-0550
Mailing address
7434 SKOKIE BLVD, SKOKIE, IL 60077-3341
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/11/2025
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