NPI 1568413821
Waukegan Terrace
Practice location
- Address
- 919 Washington Park, Waukegan, IL 60085-7258
- Phone
- (847) 623-9100
- Fax
- (847) 623-9179
- Mailing address
- 5151 Church St, Skokie, IL 60077-1123
Authorised official
- Name
- Avrum Weinfeld
- Title
- Cfo
- Phone
- (847) 674-5795
Registered specialties (2)
Mental Illness Intermediate Care Facility
Primary
Nursing Facility/Intermediate Care Facility
Registry record
- NPI
- 1568413821
- Entity type
- Organization
- NPI issued
- 12 May 2006
- Record last updated
- 16 Oct 2024
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.