Organization
FAIRMONT CARE CENTRE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER VICERE (V.P. FINANCE)
(773) 604-4416
Entity
Organization
Contact information
Practice address
5061 N PULASKI RD, CHICAGO, IL 60630-2706
(773) 604-8112
(773) 604-8113
Mailing address
5061 N PULASKI RD, CHICAGO, IL 60630-2706
(773) 604-8112
(773) 604-8113
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
000040493
IL
Other
Enumeration date
09/21/2005
Last updated
04/20/2008
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