| NPI | 1558603266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOURTNEY HICKS Physical Therapist Assistant 708-374-9574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 160006340) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-03-20 |