Healthcare Provider Details

I. General information

NPI: 1194254722
Provider Name (Legal Business Name): ASBURY COURT NURSING & REHABILITATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 ELMHURST RD
DES PLAINES IL
60018-1862
US

IV. Provider business mailing address

1750 ELMHURST RD
DES PLAINES IL
60018-1862
US

V. Phone/Fax

Practice location:
  • Phone: 847-228-1500
  • Fax: 847-228-1579
Mailing address:
  • Phone: 847-228-1500
  • Fax: 847-228-1579

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: MR. MICHAEL ZAHTZ
Title or Position: MANAGER
Credential:
Phone: 847-676-1700