Organization
IMPERIAL MANOR OF HAZEL CREST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK STEINBERG (CHIEF OPERATING OFFICER)
(847) 905-3000
Entity
Organization
Contact information
Practice address
3300 175TH ST, HAZEL CREST, IL 60429-1604
(708) 335-2400
(708) 335-1825
Mailing address
3300 175TH ST, HAZEL CREST, IL 60429-1604
(708) 335-2400
(708) 335-1825
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0040402
IL
Other
Enumeration date
08/10/2007
Last updated
10/15/2008
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