| NPI | 1558586180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI C MALTIMORE Manager 217-588-6405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 282N00000X General Acute Care Hospital (Licence: IL 0000018) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2021-03-10 |