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1477807881
SUSAN IVERSON
HIGHLAND PARK, IL
NPI
1477807881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: IL 056000638)
Enumeration Date
2012-11-07
Last Update Date
2012-11-07
Business Address
Mrs. SUSAN IVERSON otrl
1582 ARBOR AVE
HIGHLAND PARK, IL 60035
Phone number: 847-845-7206
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Mailing Address
Mrs. SUSAN IVERSON otrl
1582 ARBOR AVE
HIGHLAND PARK, IL 60035-2767
Phone number: 847-845-7206
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