| NPI | 1821355561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE E. WILSON Nurse Practitioner 773-401-4412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 209009340) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |