NPI | 1497890875 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIE SHAN-MARTIN Controller 847-329-1555 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0034991) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2020-08-22 |