Organization
BRIA OF MASCOUTAH LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AVRUM WEINFELD (CFO)
(847) 933-9200
Entity
Organization
Contact information
Practice address
901 N 10TH ST, MASCOUTAH, IL 62258-1017
(618) 566-2183
(847) 933-9765
Mailing address
5151 CHURCH ST, SKOKIE, IL 60077-1123
(847) 933-9200
(847) 933-9765
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/17/2021
Last updated
10/16/2024
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