| NPI | 1386838035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA L FUENTES Apn/Cpnp 773-702-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-28 |