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NPI Code Detail

MEDICARE: PEARL OF ELGIN, LLC

MEDICARE: PEARL OF ELGIN, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1669246500
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEARL OF ELGIN, LLC
Provider Business Mailing Address
First Line : 6865 N LINCOLN AVE
Second Line :
City : LINCOLNWOOD
State : IL
Zip : 60712-4611
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2355 ROYAL BLVD
Second Line :
City : ELGIN
State : IL
Zip : 60123-4716
Country : US
Telephone Number : 847-888-9585
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : EITAN ZEFFREN
Credential :
Telephone Number : 847-888-9585
Provider Enumeration Date : 11/10/2023
Last Update Date : 11/10/2023

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Directions to “PEARL OF ELGIN, LLC ” Practice Location

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