| NPI | 1053996710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON DANIELS VP 815-966-2084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital Children |
| Additional Taxonomies | 282NW0100X General Acute Care Hospital Women |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2021-03-15 |