NPI | 1508073347 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW P DUVENDACK President 309-497-0300 |
Organization Subpart ? | No |
Primary Taxonomy | 284300000X Special Hospital (Licence: IL 036-108497) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2020-08-22 |