Church Street Station Skilled Nursing and Living Center, LLC
NPI #1649588260 in Hanover Park, Illinois
Provider Information
- NPI Number
- 1649588260
- Entity Type
- Organization
- Organization Name
- Church Street Station Skilled Nursing and Living Center, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 16, 2010
- Last Updated
- Sep 16, 2010
Practice Location
- Address
- 2000 W. LAKE ST.
- City
- Hanover Park
- State
- Illinois
- ZIP Code
- 60133
- Phone
- (630) 556-2000
Authorized Official
- Name
- MR. JAY FLATT
- Title
- CFO
- Phone
- (847) 745-6224
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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