| NPI | 1750450318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSHE DAVIS Administrator 773-463-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0030551) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |