Pavilion of Logan Square LLC
NPI 1588302137 · Skilled Nursing Facility · Chicago, IL
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pavilion of Logan Square LLC is a Skilled Nursing Facility organization in Chicago, IL (NPI 1588302137).
Provider details
- NPI number
- 1588302137
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Marcella Graf, Cfo(224) 470-2044
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Pavilion of Logan Square
Registry dates
- Enumerated
- 2022-05-24
- Last updated
- 2025-11-04
- Certified
- 2025-11-04
Frequently asked questions
- What is Pavilion of Logan Square LLC's NPI number?
- Pavilion of Logan Square LLC's National Provider Identifier (NPI) is 1588302137, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pavilion of Logan Square LLC?
- Pavilion of Logan Square LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Pavilion of Logan Square LLC located?
- Pavilion of Logan Square LLC's practice location on file with NPPES is 2242 N Kedzie Blvd, Chicago, IL 60647-2504.
- What is Pavilion of Logan Square LLC's phone number?
- The practice phone number listed in the NPPES registry for Pavilion of Logan Square LLC is (773) 486-7700.
- Does Pavilion of Logan Square LLC accept Medicare?
- Pavilion of Logan Square LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pavilion of Logan Square LLC?
- The authorized official listed on Pavilion of Logan Square LLC's NPPES record is Marcella Graf, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pavilion of Logan Square LLC's NPI active?
- Yes — Pavilion of Logan Square LLC's NPI (1588302137) is active in the NPPES registry as of the last update on 2025-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.