| NPI | 1003179615 |
|---|---|
| Doing Business As | ST ANTHONY'S MEMORIAL WOMAN'S WELLNESS |
| Entity Type | Organization |
| Authorized Contact | MARK D EVARD VP Of Revenue Cycle 217-492-9651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2024-10-31 |