| NPI | 1447204375 |
|---|---|
| Doing Business As | ILLINI RESTORATIVE CARE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL MOORE CEO 309-281-3272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 282E00000X |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2022-07-21 |