| NPI | 1386332906 |
|---|---|
| Doing Business As | AVANTARA LINCOLN PARK |
| Entity Type | Organization |
| Authorized Contact | MENACHEM SHABAT COO 773-248-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |