| NPI | 1639520034 |
|---|---|
| Former Legal Business Name | LUTHERAN SENIOR LIVING OF ILLINOIS |
| Entity Type | Organization |
| Authorized Contact | ROGER PAULSBERG President/CEO 847-368-7300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |