Healthcare Provider Details

I. General information

NPI: 1083818470
Provider Name (Legal Business Name): GESHER HATORAH DAY SCHOOL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6350 N WHIPPLE ST
CHICAGO IL
60659-1420
US

IV. Provider business mailing address

8180 MCCORMICK BLVD
SKOKIE IL
60076-2920
US

V. Phone/Fax

Practice location:
  • Phone: 847-745-1693
  • Fax: 847-745-1735
Mailing address:
  • Phone: 847-745-1693
  • Fax: 847-745-1735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BENJAMIN HURWITZ
Title or Position: DIRECTOR OF DEVELOPMENT
Credential:
Phone: 847-745-1693