| NPI | 1376744250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCITA CARTER Administrator 708-335-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0040402) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |