| NPI | 1992155766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA PLYMALE Assistant Administrator 815-921-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 5611) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |