| NPI | 1457668170 |
|---|---|
| Doing Business As | IVCH FASTCARE |
| Doing Business As | SMH-PERU/FASTCARE |
| Entity Type | Organization |
| Authorized Contact | LISA KAY LYNCH A VP Of Finance 815-780-3574 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: 209001933) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2021-01-27 |