| NPI | 1285838151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDY BENNETT Practice Coordinator 309-960-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: IL 7002363) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |