Healthcare Provider Details

I. General information

NPI: 1871075010
Provider Name (Legal Business Name): PEARL OF ROLLING MEADOWS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2018
Last Update Date: 12/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4225 KIRCHOFF RD
ROLLING MEADOWS IL
60008-2005
US

IV. Provider business mailing address

4225 KIRCHOFF RD
ROLLING MEADOWS IL
60008-2005
US

V. Phone/Fax

Practice location:
  • Phone: 847-397-2400
  • Fax:
Mailing address:
  • Phone: 847-397-2400
  • 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: MANAGER
Credential:
Phone: 847-397-2400