| NPI | 1407994452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR MANUEL GOMEZ Public Health Administrator 815-872-5091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2021-06-25 |