| NPI | 1518127539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA RAE LOVE Physical Therapist Assistant 815-499-1269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 1484895) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |