| NPI | 1255633012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MENACHEM BERGER Manager 847-440-2660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 1980551) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2021-04-27 |