Healthcare Provider Details

I. General information

NPI: 1508547829
Provider Name (Legal Business Name): ZAHAV OF DES PLAINES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2023
Last Update Date: 07/28/2023
Certification Date: 07/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 W BALLARD RD
DES PLAINES IL
60016-4904
US

IV. Provider business mailing address

6557 N CENTRAL PARK AVE
LINCOLNWOOD IL
60712-4013
US

V. Phone/Fax

Practice location:
  • Phone: 847-294-2300
  • Fax: 847-200-4012
Mailing address:
  • Phone: 847-563-0132
  • Fax: 847-299-4012

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. JACOB BOGOFF
Title or Position: MANAGER
Credential:
Phone: 847-563-0132