Organization
PEARL PAVILION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIMON WEBSTER (MANAGER)
(773) 945-1000
Entity
Organization
Contact information
Practice address
910 KIWANIS DRIVE, FREEPORT, IL 61032
(815) 235-6196
Mailing address
8153 LAWNDALE AVE, SKOKIE, IL 60076-3321
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/19/2015
Last updated
05/18/2016
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