| NPI | 1790782456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDNEY GLENNER President 847-674-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 28753) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2011-11-02 |