| NPI | 1356486732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIE SHANMARTIN Medicare Billing 847-905-4026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0042671) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2010-02-09 |