| NPI | 1689096745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES SLAGLE Owner 847-905-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 0052571) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: IL 0052571) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-01-09 |