NPI | 1215351390 |
---|---|
Doing Business As | COMMUNITY OUTREACH CLINIC |
Entity Type | Organization |
Authorized Contact | MAUREEN A KAHN CEO/President 217-223-1200 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2014-02-11 |
Last Update Date | 2023-11-27 |