| NPI | 1780661348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALL A MAUER Secretary Treasurer 847-679-8219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0036079) |
| Enumeration Date | 2005-12-26 |
| Last Update Date | 2011-08-19 |