Healthcare Provider Details

I. General information

NPI: 1720934573
Provider Name (Legal Business Name): THRYVE OF BURBANK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 W 87TH ST
BURBANK IL
60459-2913
US

IV. Provider business mailing address

8140 MCCORMICK BLVD STE 138
SKOKIE IL
60076-2920
US

V. Phone/Fax

Practice location:
  • Phone: 708-423-1200
  • Fax:
Mailing address:
  • Phone:
  • 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: EFRIAM WEINFELD
Title or Position: MEDICARE AUTHORIZED OFFICIAL
Credential:
Phone: 224-536-4202