Healthcare Provider Details

I. General information

NPI: 1811407166
Provider Name (Legal Business Name): APERION CARE PEORIA HEIGHTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2017
Last Update Date: 09/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1629 E GARDNER LN
PEORIA HEIGHTS IL
61616-3613
US

IV. Provider business mailing address

4655 W CHASE AVE
LINCOLNWOOD IL
60712-1605
US

V. Phone/Fax

Practice location:
  • Phone: 309-685-1545
  • 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
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: YOSEF MEYSTEL
Title or Position: MANAGER
Credential:
Phone: 847-262-3800