| NPI | 1316215536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGID MERKLE Speech Language Pathologist 708-254-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 146010426) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2011-12-02 |