| NPI | 1215249412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MORAN Program Director 733-792-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: IL 125057999) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2012-08-28 |