| NPI | 1770090961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM GUTNICKI Manager 847-933-9280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2020-05-14 |