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

Ottawa Pavilion, Ltd

Organization Skilled Nursing Facility · NPI 1205813490

Ottawa Pavilion, Ltd is a Skilled Nursing Facility in Ottawa, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

704 E Glover St
Ottawa, IL 61350-4131
Phone: (815) 431-4900
Fax: (815) 434-2376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 0039230 (IL)

Record details

NPI number1205813490
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marshall Mauer — Secretary-Treasurer · (847) 679-8219
NPI enumeratedDecember 28, 2005
Last updated in NPPESJanuary 14, 2015
Mailing address704 E Glover St, Ottawa, IL 61350-4131

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