| NPI | 1942297775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN AVELINO Accounts Recievable Manager 773-724-6376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0026435) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2019-05-10 |