Organization
FAIRVIEW CARE CENTER OF JOLIET, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOSEF MEYSTEL (MANAGER)
(773) 509-0027
Entity
Organization
Contact information
Practice address
3553 W PETERSON AVE # 40, CHICAGO, IL 60659-3200
(773) 509-0027
Mailing address
3553 W PETERSON AVE # 40, CHICAGO, IL 60659-3200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208047008001
—
IL
Enumeration date
07/05/2007
Last updated
08/22/2020
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