| NPI | 1659368264 |
|---|---|
| Doing Business As | LAKE COOK HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MELODY GOODMAN Mds COO Rdinator 847-564-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2020-08-22 |