| NPI | 1598188237 |
|---|---|
| Doing Business As | AVANTARA LONG GROVE |
| Entity Type | Organization |
| Authorized Contact | YAIR ZUCKERMAN COO 847-679-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2015-06-30 |