NPI | 1467445346 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY WEBSTER Administrator 847-679-2121 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0033977) |
Enumeration Date | 2005-08-25 |
Last Update Date | 2011-10-05 |