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General NPI Number Information
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NPI Number | 1467445346
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Entity Type | Organization
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Legal Business Name | ATRIUM HEALTH CARE CENTER LTD
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Dates
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Enumeration Date | 08/25/2005
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Last Update Date | 10/05/2011
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Provider Practice Location Address
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Address Line | 1425 W ESTES AVE
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City | CHICAGO
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State | IL
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Zip | 60626-2625
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Country | US
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Telephone | 773-973-4780
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Fax | 773-973-1895
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Provider Business Mailing Address
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Address Line | 3737 W ARTHUR AVE
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-4029
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Country | US
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Telephone | 847-679-2121
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Fax | 847-679-2122
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JEFFREY WEBSTER
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Credential |
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Telephone | 847-679-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 0033977
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License Number State | IL
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