| NPI | 1902465990 |
|---|---|
| Doing Business As | ILLUMINATE HC DEFIANCE |
| Doing Business As | SKLD DEFIANCE |
| Entity Type | Organization |
| Authorized Contact | YAIR ZUCKERMAN CEO 312-590-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |