Organization
FAIRVIEW CARE CENTER OF LAGRANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOSEF MEYSTEL (MANAGER)
(773) 509-0027
Entity
Organization
Contact information
Practice address
3553 W PETERSON AVE, CHICAGO, IL 60659-3200
(773) 509-0027
Mailing address
3553 W PETERSON AVE, CHICAGO, IL 60659-3200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IL
Other
Enumeration date
06/29/2007
Last updated
08/22/2020
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