| NPI | 1003805672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHEPLOWITZ Administrator 630-960-2026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: IL 0030015) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2020-08-22 |