| NPI | 1467426270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOE HERMAN Com PT Roller 847-982-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0033589) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2012-06-12 |