Healthcare Provider Details

I. General information

NPI: 1033898846
Provider Name (Legal Business Name): GLENVIEW SKILLED NURSING FACILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2023
Last Update Date: 07/18/2023
Certification Date: 07/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1511 GREENWOOD RD
GLENVIEW IL
60026-1513
US

IV. Provider business mailing address

3450 OAKTON ST
SKOKIE IL
60076-2951
US

V. Phone/Fax

Practice location:
  • Phone: 847-729-9090
  • Fax: 847-729-9135
Mailing address:
  • Phone: 847-745-7000
  • 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: CHAIM RAJCHENBACH
Title or Position: CEO
Credential:
Phone: 847-745-7000