| NPI | 1831169945 |
|---|---|
| Doing Business As | LAKE FOREST PLACE |
| Entity Type | Organization |
| Authorized Contact | ROBERT E LANDSMAN Vice President Of Finance 847-492-4859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 0044065) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: IL 0044065) |
| 314000000X Skilled Nursing Facility (Licence: IL 0044065) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2008-08-12 |