| NPI | 1427071646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID TKACH CEO 217-545-7578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 225XH1200X Occupational Therapist, Hand | |
| 231H00000X Audiologist | |
| 363AS0400X Physician Assistant, Surgical | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 364SG0600X Clinical Nurse Specialist, Gerontology | |
| 364SX0200X Clinical Nurse Specialist, Oncology | |
| 367A00000X Advanced Practice Midwife | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 363LN0000X Nurse Practitioner, Neonatal | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2022-07-21 |