NPI | 1982153425 |
---|---|
Entity Type | Organization |
Authorized Contact | GILBERT W FONGER President/CEO 630-593-5476 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
Enumeration Date | 2016-09-26 |
Last Update Date | 2016-09-26 |