| NPI | 1275971319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI TOPEL Physical Therapist 815-823-2388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 12298-24) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-06-11 |