| NPI | 1568671998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNATHON WOODS Registerd Nurse 217-383-3088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital Children |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |