| NPI | 1407268691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARA DENISE WILSON Register Nurse 773-683-8987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: IL 041380212) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |