Pavillion Of Forest Park, L.L.C.

LBN: Forest Park, L.L.C.
Pavillion Of Forest Park, L.L.C. is an health care organization with primary practice located at 8200 Roosevelt Rd , Forest Park IL 60130-2528. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Forest Park, L.L.C. can be contacted via phone (708) 488-9850, or through Steinberg, Mark via phone (847) 905-3000.

Contact Information

Primary practice address
8200 Roosevelt Rd Forest Park IL 60130-2528
Phone: (708) 488-9850
Fax: (708) 488-9870
Website:
Map and Directions
Authorized official contact:
Name: Steinberg, Mark
Phone: (847) 905-3000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0043778 Illinois

Profile Details

NPI number 1548392541
LBN Legal business name Forest Park, L.L.C.
DBA Doing business as Pavillion Of Forest Park, L.L.C.
Authorized official Steinberg, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2007
Last updated Jun 26th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548392541 NPPES
Illinois MEDICAID 364186094001
Illinois Other 1192

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