| NPI | 1275507139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOE HERMAN Comptroller 847-982-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 032084) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2020-08-22 |