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Contact Information

BUCKINGHAM PAVILION INC
2625 W TOUHY AVE
CHICAGO, IL60645
 Phone: 773-373-5333
 Fax: 773-973-5222
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for BUCKINGHAM PAVILION INC

NPI Number 1285667691
LBN Legal business name BUCKINGHAM PAVILION INC
Authorized official LARISA FRIDMAN - (FINANCIAL MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/09/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
IL License # 0019836
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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