| NPI | 1295730679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WINTER Treasurer 847-674-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: IL 0031971) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2020-08-22 |