| NPI | 1891723250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE TIGGES Administrator 773-273-3544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: IL 0045906) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2016-03-23 |