NPI | 1790782449 |
---|---|
Entity Type | Organization |
Authorized Contact | SIDNEY GLENNER President 847-674-5454 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 22111) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2011-11-19 |