Healthcare Provider Details

I. General information

NPI: 1013330760
Provider Name (Legal Business Name): AURORA SENIOR LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2014
Last Update Date: 01/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1599 N FARNSWORTH AVE
AURORA IL
60505-1530
US

IV. Provider business mailing address

7040 N RIDGEWAY AVE
LINCOLNWOOD IL
60712-2620
US

V. Phone/Fax

Practice location:
  • Phone: 630-898-9400
  • Fax: 630-898-9420
Mailing address:
  • Phone: 847-679-9797
  • Fax: 847-676-5348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: REUVEN LEVITIN
Title or Position: AR MANAGER
Credential:
Phone: 847-676-5342