| NPI | 1043936438 |
|---|---|
| Doing Business As | FN ON NEIL ST. |
| Entity Type | Organization |
| Authorized Contact | APRIL ARRASMITH Billing Manager 217-403-5403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2022-10-17 |