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NPI Code Detail

MEDICARE: EASTVIEW HEALTHCARE & SENIOR LIVING LLC

MEDICARE: EASTVIEW HEALTHCARE & SENIOR LIVING LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1013730589
Entity Type Code : Organization
Provider Name (Legal Business Name) : EASTVIEW HEALTHCARE & SENIOR LIVING LLC
Provider Business Mailing Address
First Line : 8153 LAWNDALE AVE
Second Line :
City : SKOKIE
State : IL
Zip : 60076-3321
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 EASTVIEW PL
Second Line :
City : SULLIVAN
State : IL
Zip : 61951-1674
Country : US
Telephone Number : 217-728-7367
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : KEVIN CHANKIN
Credential :
Telephone Number : 773-745-1107
Provider Enumeration Date : 11/04/2024
Last Update Date : 03/21/2025

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