| NPI | 1538047899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DIRAIMONDO VP For Finance & Chief Financial Of 815-226-4006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center Student Health |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-08-25 |