Healthcare Provider Details

I. General information

NPI: 1972638484
Provider Name (Legal Business Name): ZION-BARTON, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 SHERIDAN
ZION IL
60099-4371
US

IV. Provider business mailing address

465 CENTRAL AVE SUITE 100
NORTHFIELD IL
60093-3045
US

V. Phone/Fax

Practice location:
  • Phone: 847-872-1500
  • Fax: 847-731-6430
Mailing address:
  • Phone: 847-441-8200
  • Fax: 847-441-0800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. GARY ALAN WEINTRAUB
Title or Position: GENERAL COUNSEL
Credential:
Phone: 847-441-8200