Organization
FAIRVIEW NURSING PLAZA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS WINTER CPA (TREASURER)
(847) 674-5200
Entity
Organization
Contact information
Practice address
321 ARNOLD AVE, ROCKFORD, IL 61108-2315
(815) 397-5531
(815) 397-7629
Mailing address
4100 W PRATT AVE, LINCOLNWOOD, IL 60712-3517
(847) 674-5200
(847) 674-5267
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0037655
IL
Other
Enumeration date
06/14/2005
Last updated
11/11/2010
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