| NPI | 1265856710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMOTUNDE OMOLABAKE ADENIJI Lpn 773-909-3016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 043085337) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |