| NPI | 1912904673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDNEY GLENNER President 847-674-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 4861) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2014-09-08 |