NPI | 1629064290 |
---|---|
Entity Type | Organization |
Authorized Contact | HOWARD L. WENGROW Vice President 847-679-2121 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0026294) |
Enumeration Date | 2005-09-20 |
Last Update Date | 2015-06-04 |