| NPI | 1265966048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN M. CIRONE Regional Mgr Reimb/Rev Recognition 309-672-4813 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2020-02-14 |