| NPI | 1336218841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEHOSHUA DAVIS Administrator 773-463-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0047035) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-04-20 |