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Fullerton Skilled Nursing Facility LLC — NPI 1972361731, Chicago, IL | NPI Central

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NPI 1972361731

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Fullerton Skilled Nursing Facility LLC

NPI 1972361731 · Comprehensive Outpatient Rehabilitation Facility (CORF) · Chicago, IL

Provider details

NPI number: 1972361731
Entity type: Organization
Primary specialty: Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
Organization subpart: No
Authorized official: Menachem Shabat, President(847) 679-5331

Specialties & taxonomies

Comprehensive Outpatient Rehabilitation Facility (CORF)Primary261QR0401X
Ambulatory Health Care Facilities

Practice location

1366 W Fullerton Ave

Chicago, IL 60614-2129

Phone: (773) 844-8880

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

3450 Oakton St

Skokie, IL 60076-2951

Other names (DBA / former)

Doing business as: Avantara Lincoln Park

Registry dates

Enumerated: 2024-03-07
Last updated: 2024-03-07
Certified: 2024-03-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.