Healthcare Provider Details

I. General information

NPI: 1457818890
Provider Name (Legal Business Name): ATRIUM REHAB & NURSING CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2019
Last Update Date: 02/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 W ESTES AVE
CHICAGO IL
60626-2625
US

IV. Provider business mailing address

3737 W ARTHUR AVE
LINCOLNWOOD IL
60712-4029
US

V. Phone/Fax

Practice location:
  • Phone: 773-973-4780
  • Fax: 773-973-1895
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: EPHRAIM BRAUNSTEIN
Title or Position: MANAGER
Credential:
Phone: 847-679-2121