| NPI | 1497003453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA FERGUSON Chief Executive Officer 217-398-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IL A-1801-0002-A) |
| Enumeration Date | 2012-08-24 |
| Last Update Date | 2013-09-23 |