| NPI | 1982648150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN P MILLER Member 312-994-2306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0041897) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-08-22 |