Organization
EASTGATE MANOR OF ALGONQUIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN SAMATAS (MEMBER)
(630) 458-4700
Entity
Organization
Contact information
Practice address
101 EASTGATE COURT, ALGONQUIN, IL 60102
(847) 458-2800
(847) 458-0017
Mailing address
665 WEST NORTH AVENUE SUITE 500, LOMBARD, IL 60148
(630) 458-4700
(630) 458-4770
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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