Long Grove Pac LLC
NPI #1598188237 in Long Grove, Illinois
Provider Information
- NPI Number
- 1598188237
- Entity Type
- Organization
- Organization Name
- Long Grove Pac LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 31, 2014
- Last Updated
- Jun 30, 2015
Practice Location
- Address
- 1666 RFD
- City
- Long Grove
- State
- Illinois
- ZIP Code
- 60047-7368
- Phone
- (847) 419-1111
Authorized Official
- Name
- YAIR ZUCKERMAN
- Title
- COO
- Phone
- (847) 679-9797
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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