| NPI | 1992792527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY VARNAVAS Administrator 815-933-1666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0028712) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2008-10-02 |