| NPI | 1154644367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKI STAMATIADES Business Office Director 309-852-7540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: IL 056002565) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-03-03 |