NPI | 1619968823 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL GILLMAN President 847-742-8822 |
Organization Subpart ? | No |
Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: IL 0043968) |
Enumeration Date | 2005-11-04 |
Last Update Date | 2013-05-10 |