Provider Demographics
NPI:1003638222
Name:FFII CARILLON SNF TENANT LLC
Entity type:Organization
Organization Name:FFII CARILLON SNF TENANT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:FRONING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-533-2727
Mailing Address - Street 1:200 W MADISON ST STE 2650
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606-3497
Mailing Address - Country:US
Mailing Address - Phone:312-533-2727
Mailing Address - Fax:
Practice Address - Street 1:829 CARILLON DR
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:IL
Practice Address - Zip Code:60103-5300
Practice Address - Country:US
Practice Address - Phone:630-372-1983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-29
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility