| NPI | 1396006524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE PARKER VP Medical Staff 331-221-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281P00000X Chronic Disease Hospital (Licence: IL 041.224870) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |