| NPI | 1023058849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DUANE EVARD VP Of Revenue Cycle 217-492-9651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0008490) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2023-09-19 |