| NPI | 1922143320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIE SHAN-MARTIN Controller 847-905-4026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0037572) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2009-12-08 |