| NPI | 1356904163 |
|---|---|
| Doing Business As | SMH MIDTOWN HEALTH CTR |
| Other Name | MIDTOWN HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JEANNETTE MARIE KNEEBONE Patient Accounts Director 815-664-1477 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2022-03-21 |