| NPI | 1275704124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE WAYNE Program Director 312-695-8630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282E00000X Long Term Care Hospital (Licence: IL AN5240394-9871) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |