NPI | 1669875522 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID BERKOWITZ Manager 847-673-6767 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0053215) |
Enumeration Date | 2014-10-06 |
Last Update Date | 2014-10-06 |