Healthcare Provider Details

I. General information

NPI: 1982468534
Provider Name (Legal Business Name): ALIYA OF EVANSTON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2024
Last Update Date: 02/13/2024
Certification Date: 02/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 OAK AVE
EVANSTON IL
60201-4205
US

IV. Provider business mailing address

3515 HOWARD ST STE 1001
SKOKIE IL
60076-4001
US

V. Phone/Fax

Practice location:
  • Phone: 847-869-1300
  • Fax:
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: EFRAIM WEINFELD
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 773-557-0432