| NPI | 1538239983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER FEENEY Office Manager 309-478-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2023-10-09 |