| NPI | 1174803878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET KAY STELLE-BETMAN Family Nurse Practitioner 309-287-5506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 209.008667) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: IL 041.283154) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2012-02-13 |