| NPI | 1174544795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DUANE EVARD VP Of Revenue Cycle 217-492-9651 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: IL 0005355) |
| Additional Taxonomies | 273R00000X Psychiatric Unit |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2023-09-19 |