Healthcare Provider Details

I. General information

NPI: 1720686280
Provider Name (Legal Business Name): AURORA SKILLED NURSING FACILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2020
Last Update Date: 10/15/2020
Certification Date: 10/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 SULLIVAN RD
AURORA IL
60506-1452
US

IV. Provider business mailing address

3450 OAKTON ST
SKOKIE IL
60076-2951
US

V. Phone/Fax

Practice location:
  • Phone: 630-859-3700
  • Fax: 630-264-1862
Mailing address:
  • Phone: 847-679-9797
  • Fax: 847-679-1126

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: MENACHEM SHABAT
Title or Position: COO
Credential:
Phone: 847-679-9797