Organization
CHAMPAIGN URBANA NURSING AND REHAB LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARAK BAVER (OWNER)
(773) 575-2222
Entity
Organization
Contact information
Practice address
302 BURWASH AVE, SAVOY, IL 61874-9572
(217) 402-9700
(217) 402-2209
Mailing address
8170 MCCORMICK BLVD, SUITE 118, SKOKIE, IL 60076-2961
(847) 674-8200
(814) 674-4133
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2075539
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050062
—
IL
Enumeration date
12/18/2012
Last updated
02/03/2021
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