Healthcare Provider Details

I. General information

NPI: 1063197432
Provider Name (Legal Business Name): HIGHLIGHT HEALTHCARE OF AURORA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2023
Last Update Date: 06/21/2023
Certification Date: 06/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1017 W GALENA BLVD
AURORA IL
60506-3753
US

IV. Provider business mailing address

2711 W HOWARD ST
CHICAGO IL
60645-1303
US

V. Phone/Fax

Practice location:
  • Phone: 630-897-3100
  • Fax:
Mailing address:
  • Phone: 201-736-5768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH TSADOK
Title or Position: MEMBER
Credential:
Phone: 201-736-5768