| NPI | 1063388999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM GUTNICKI Medicare Authorized Official 847-221-6444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-10-16 |