| NPI | 1205427085 |
|---|---|
| Doing Business As | LOVES PARK COVID VACCINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | DON DANIELS VP 815-966-2084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-02-03 |