Organization
ADMIRAL AT THE LAKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAIM DUBOVICK (ADMINISTRATOR)
(773) 433-1800
Entity
Organization
Contact information
Practice address
933 W. FOSTER AVE, CHICAGO, IL 60640
(773) 433-1800
Mailing address
929 W FOSTER AVE, CHICAGO, IL 60640-1491
(773) 433-1800
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/20/2013
Last updated
07/17/2023
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