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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EVENGLOW LODGE

Active Organization

EVENGLOW LODGE is a Skilled Nursing Facility organization located in PONTIAC, Illinois. NPI 1558314302 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · PONTIAC, IL

Registration Details

NPI Number
1558314302
Provider Type
Organization
NPI Issued
May 19, 2006 (20.240124203584 yrs)
Last Updated
Apr 17, 2008
License
0008425 (IL)

Practice Information

Address
215 E WASHINGTON ST
PONTIAC, IL, 617642011
Browse IL providers · Browse ZIP 61764
Phone
8158446131
Fax
8158423558
Primary Specialty
Skilled Nursing Facility
314000000X

Other Skilled Nursing Facility Organizations in PONTIAC, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.