| NPI | 1063448827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN A WHITESIDE Occupational Therapist 618-833-1506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: IL 056.000551) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2020-08-22 |