| NPI | 1346579398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINNA MARIE R. BOLONGAN Physical Therapist 773-679-4006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IL 070015702) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2009-12-21 |