Healthcare Provider Details

I. General information

NPI: 1417647157
Provider Name (Legal Business Name): PEARL OF EVANSTON, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2023
Last Update Date: 05/08/2023
Certification Date: 05/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 FOSTER ST
EVANSTON IL
60201-3212
US

IV. Provider business mailing address

4711 GOLF RD STE 200
SKOKIE IL
60076-1236
US

V. Phone/Fax

Practice location:
  • Phone: 847-492-7700
  • Fax:
Mailing address:
  • Phone: 847-933-9280
  • 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: EITAN ZEFFREN
Title or Position: OWNER
Credential:
Phone: 847-492-7700