| NPI | 1548257454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA LYDIA PATTY Administrator 773-465-7751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0034736) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2008-12-18 |