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

Fullerton Skilled Nursing Facility LLC

Organization Comprehensive Outpatient Rehabilitation Facility (CORF) · NPI 1972361731

Fullerton Skilled Nursing Facility LLC is a Comprehensive Outpatient Rehabilitation Facility (CORF) in Chicago, Illinois. Registered with an NPI since 2024.

In the registry since
2024
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) 844-8880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Comprehensive Outpatient Rehabilitation Facility (CORF) (primary) Taxonomy 261QR0401X

Record details

NPI number1972361731
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Menachem Shabat — President · (847) 679-5331
Other names Avantara Lincoln Park
NPI enumeratedMarch 7, 2024
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024
Mailing address3450 Oakton St, Skokie, IL 60076-2951

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