| NPI | 1619456670 |
|---|---|
| Doing Business As | AVANTARA OF ELGIN |
| Entity Type | Organization |
| Authorized Contact | MENACHEM SHABAT Principal 847-679-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2018-08-10 |