| NPI | 1134119100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELMA DE LA CRUZ Mds COO Rdinator 773-782-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 001) |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2022-07-21 |