| NPI | 1326217217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELDON WOLFE Member 847-982-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 035624) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-07-30 |