| NPI | 1861511297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN R AXELBAUM Administrator 309-329-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 1783042) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2015-03-16 |