Healthcare Provider Details

I. General information

NPI: 1912288077
Provider Name (Legal Business Name): CHALET LIVING AND REHABILITATION CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2011
Last Update Date: 09/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7350 N SHERIDAN RD
CHICAGO IL
60626-2017
US

IV. Provider business mailing address

7350 N SHERIDAN RD
CHICAGO IL
60626-2017
US

V. Phone/Fax

Practice location:
  • Phone: 773-274-1700
  • Fax:
Mailing address:
  • Phone: 773-274-1700
  • 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: MS. FRANCES MEEHAN
Title or Position: ATTORNEY
Credential:
Phone: 312-521-2467