| NPI | 1043855851 |
|---|---|
| Other Name | CFC #1 |
| Entity Type | Organization |
| Authorized Contact | MELISSA BUCALO Administrative/Licensing Manager 815-986-1947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |