| NPI | 1568883718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE SAUCEDO Revenue Cycle Manager 309-680-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2025-08-15 |