| NPI | 1194736728 |
|---|---|
| Doing Business As | ST. ELIZABETH'S BHS PROFESSIONAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | MARK D EVARD VP Of Revenue Cycle 217-492-9651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: IL 0002345) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 0002345) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 041.334033) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2023-09-19 |