NPI 1174529614
Sovereign Healthcare
Practice location
- Address
- 6159 N Kenmore Ave, Chicago, IL 60660-2722
- Phone
- (773) 761-9050
- Fax
- (773) 761-9055
- Mailing address
- 6500 N Hamlin, Lincolnwood, IL 60712
Authorised official
- Name
- David Lubowsky
- Title
- Bookkeeper
- Phone
- (847) 679-7484
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1174529614
- Entity type
- Organization
- NPI issued
- 21 Jun 2005
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.