Healthcare Provider Details

I. General information

NPI: 1003710054
Provider Name (Legal Business Name): ALORA OF LINCOLN PARK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2732 N HAMPDEN CT
CHICAGO IL
60614-1612
US

IV. Provider business mailing address

1550 N NORTHWEST HWY STE 430
PARK RIDGE IL
60068-1461
US

V. Phone/Fax

Practice location:
  • Phone: 773-248-6000
  • Fax:
Mailing address:
  • Phone: 847-453-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JOSEPH BERGER
Title or Position: PRINCIPAL
Credential:
Phone: 312-550-9372