Peterson Park Associates, Llc in Chicago - Skilled Nursing Facility
Peterson Park Associates, Llc - NPI 1649276080
Peterson Park Associates, Llc is a Skilled Nursing Facility in Chicago, Illinois. Peterson Park Associates, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Peterson Park Associates, Llc is 1649276080. The last update date is 2022-05-27.
Peterson Park Associates, Llc's current location address is 6141 N Pulaski Rd, Chicago, Illinois. You can contact this provider via phone number 7734782000. The mailing address for Peterson Park Associates, Llc is 6141 N Pulaski Rd, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peterson Park Associates, Llc |
|---|---|
| Address | 6141 N Pulaski Rd, Chicago, Illinois |
| Phone Number | 7734782000 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Shabat Menachem |
| Telephone Number | 7734782000 |
NPI Number Detail
| NPI Number | 1649276080 |
|---|---|
| Provider Enumeration Date | 2005-06-21 |
| Last Updated Date | 2022-05-27 |
Provider Mailing Address Detail
| Address | 6141 N Pulaski Rd |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 6064652150 |
| Phone Number | 7734782000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 24463 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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What is the Peterson Park Associates, Llc's 1649276080?
The Peterson Park Associates, Llc's NPI (National Provider Identifier) Number is 1649276080. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Peterson Park Associates, Llc located?
The Peterson Park Associates, Llc is located at 6141 N Pulaski Rd, Chicago, IL 6064652150.
What is the Peterson Park Associates, Llc's area of specialization and corresponding taxonomy classification?
The Peterson Park Associates, Llc's specialty field is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1649276080 to Peterson Park Associates, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1649276080 to Peterson Park Associates, Llc on 2005-06-21.
When was the Peterson Park Associates, Llc's information last updated?
The Peterson Park Associates, Llc's information was last updated on 2022-05-27.
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