| NPI | 1053740936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA YATES Director Business Services And Comp 815-999-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 036-084829) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2013-11-01 |