| NPI | 1003033861 |
|---|---|
| Former Legal Business Name | GLENWOOD BUILDING GROUP LTD |
| Entity Type | Organization |
| Authorized Contact | FRANK EUGENE CUSHING President 815-968-5342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2008-01-03 |