NPI 1730112939

Petersen Health Properties, LLC

Organisation Skilled Nursing Facility South Elgin, IL

Practice location

Address: 746 W Spring St, South Elgin, IL 60177-1424
Phone: (847) 697-0565
Fax: (847) 697-0568
Mailing address: 830 W Trailcreek Dr, Peoria, IL 61614-1862

Authorised official

Name: Mark B. Petersen
Title: Manager
Phone: (309) 691-8113

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 0047621 (IL)

Other Skilled Nursing Facility providers in Illinois →

Registry record

NPI: 1730112939
Entity type: Organization
NPI issued: 9 Jul 2006
Record last updated: 31 Dec 2019

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.