Organization
LAKEFRONT NURSING AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MENACHEM SHABAT (OWNER)
(773) 743-7711
Entity
Organization
Contact information
Practice address
7618 N SHERIDAN RD, CHICAGO, IL 60626-1418
(847) 743-7711
(847) 761-3387
Mailing address
7618 N SHERIDAN RD, CHICAGO, IL 60626-1418
(847) 743-7711
(847) 761-3387
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1738852
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363374548001
—
IL
Enumeration date
05/11/2006
Last updated
08/22/2020
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