| NPI | 1811139876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK B. PETERSEN Manager 309-689-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0053488) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2020-12-02 |