| NPI | 1386641272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN P MILLER Member 312-994-2306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0046680) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 0046680) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2015-04-29 |