| NPI | 1457089377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIAH NACARATO Family Nurse Practitioner 309-339-4364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2022-08-09 |