Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fullerton Skilled Nursing Facility LLC

Organization Skilled Nursing Facility · NPI 1386332906

Fullerton Skilled Nursing Facility LLC is a Skilled Nursing Facility in Chicago, Illinois. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1366 W Fullerton Ave
Chicago, IL 60614-2129
Phone: (773) 248-9300
Fax: (773) 935-0036
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1386332906
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Menachem Shabat — Coo · (773) 248-9300
Other names Avantara Lincoln Park
NPI enumeratedMay 1, 2023
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023
Mailing address3450 Oakton St, Skokie, IL 60076-2951

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