| NPI | 1184732745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RAY WENCE President 217-872-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 060008985) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180003510) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |