Grove of Lagrange Park LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GROVE OF LAGRANGE PARK LLC

Practice address

701 N la Grange Rd
La Grange Park, IL 60526-1520

Phone

(708) 354-7300

Fax

(708) 354-8928

NPI assigned

Mar 17, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chaim Rajchenbach

Title

Owner

Phone

(847) 679-9797

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1144461336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N LA GRANGE RD",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261520",
            "telephone_number": "708-354-7300",
            "fax_number": "708-354-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N LA GRANGE RD",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261520",
            "telephone_number": "708-354-7300",
            "fax_number": "708-354-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE OF LAGRANGE PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "RAJCHENBACH",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-679-9797"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary M McCray MD SC
• Jordan Alexander Gillard
• Michael J. Glavin, M. D.
• Cynthia Elena Gonzalez
• Cara Gray
• Robert John Groya, M.D.
• Kelly Grusecki
• Yaritza Gutierrez-Martinez, RDH
• Cynthia Guzman
• April Hall, RN

• Skilled Nursing Facility in La Grange Park, IL
• Providers in La Grange Park, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.