| NPI | 1972361731 |
|---|---|
| Doing Business As | AVANTARA LINCOLN PARK |
| Entity Type | Organization |
| Authorized Contact | MENACHEM SHABAT President 847-679-5331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |