| NPI | 1093919771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIL KRAMER Administrator 309-465-3102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 0006510) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-08-22 |