| NPI | 1528054350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LIBERMAN Administrator 773-274-7705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 5249) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2016-08-18 |