NPI | 1386538775 |
---|---|
Entity Type | Organization |
Authorized Contact | KIRSTEN MARIE LARGENT CFO 309-308-5255 |
Organization Subpart ? | Yes |
Primary Taxonomy | 174H00000X Health Educator |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2025-06-09 |
Last Update Date | 2025-06-09 |