| NPI | 1073714341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA L PATTY Administrator 773-465-7751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 21767) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |