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Organization · Pediatric Skilled Nursing Facility · Chicago, IL

NPI

1366793143

Type

Organization (Type 2)

Primary specialty

Pediatric Skilled Nursing Facility (Skilled Nursing Facility)

Specialty group

Nursing & Custodial Care Facilities

Taxonomy code

3140N1450X

License number

4000020 (IL)

Enumerated

2012-09-20

Last updated

2013-08-15