NPI | 1750351425 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK E. HAVRILKA Chief Financial Officer 847-979-3904 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0012930) |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
310400000X Assisted Living Facility (Licence: IL 0012930) | |
Enumeration Date | 2006-01-25 |
Last Update Date | 2021-10-08 |