| NPI | 1790462992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE SCHUETH Controller 773-273-4191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2023-06-29 |