NPI | 1417591074 |
---|---|
Doing Business As | VANGUARD ELDERCARE - ILLINOIS, S.C. |
Entity Type | Organization |
Authorized Contact | STEVEN POSAR CEO 574-546-1900 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
1041C0700X Social Worker, Clinical | |
2084N0400X Psychiatry & Neurology, Neurology | |
363L00000X Nurse Practitioner | |
363LF0000X Nurse Practitioner, Family | |
363LG0600X Nurse Practitioner, Gerontology | |
Enumeration Date | 2019-11-06 |
Last Update Date | 2021-11-16 |