Organization
LINCOLN VILLAGE HEALTHCARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERWIN IRA RAY (MANAGER)
(847) 922-0700
Entity
Organization
Contact information
Practice address
2202 N KICKAPOO ST, LINCOLN, IL 62656-1306
(217) 735-1538
Mailing address
2201 MAIN ST, EVANSTON, IL 60202-1519
(847) 922-0700
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/06/2021
Last updated
06/06/2021
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