NPI | 1821212739 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT T BRAUN Administrator 630-897-8714 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0038877) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2008-04-20 |