| NPI | 1275688160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE J. GRADY Director, Health Services 815-753-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2013-04-29 |