| NPI | 1457779126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAMCY HASKINS Cota/L 708-349-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 057.001883) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2014-03-31 |