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NPI Code Detail

MEDICARE: ALIYA OF PALOS PARK LLC

MEDICARE: ALIYA OF PALOS PARK 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 : 1740964691
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALIYA OF PALOS PARK LLC
Provider Business Mailing Address
First Line : 3515 HOWARD ST STE 1001
Second Line :
City : SKOKIE
State : IL
Zip : 60076-4001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12220 WILL COOK RD
Second Line :
City : PALOS PARK
State : IL
Zip : 60464-7332
Country : US
Telephone Number : 630-343-7140
Fax Number :
Authorized Official
Title or Position : COO
Name : EFRIAM WEINFELD
Credential :
Telephone Number : 773-557-0432
Provider Enumeration Date : 06/12/2023
Last Update Date : 06/12/2023

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Directions to “ALIYA OF PALOS PARK LLC ” Practice Location

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