| NPI | 1871940734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE SCHUETH Controller 773-273-4191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: IL 0052472) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |