NPI | 1639561772 |
---|---|
Entity Type | Organization |
Authorized Contact | GILBERT FONGER CEO/President 630-593-5500 |
Organization Subpart ? | No |
Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
Enumeration Date | 2015-02-26 |
Last Update Date | 2015-02-26 |