NPI | 1205291457 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILIP HEMMER Executive Director 847-328-8700 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0012773) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 0012773) |
310400000X Assisted Living Facility (Licence: IL 5102915) | |
Enumeration Date | 2015-12-15 |
Last Update Date | 2015-12-15 |