| NPI | 1063479160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARL E VAN DUSEN Administrator 708-636-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0038091) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2009-02-27 |