| NPI | 1447321211 |
|---|---|
| Doing Business As | THE IMPERIAL CONVALESCENCE & NURSING CENTER |
| Entity Type | Organization |
| Authorized Contact | JOYCE RUDD Medicare Manager 847-745-6238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: IL 0476000001) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: IL 0476000001) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-04-20 |