| NPI | 1063715878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS HEGG Administrator 773-273-3575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: IL 0050401) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2010-12-16 |