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 |