| NPI | 1568883718 |
|---|---|
| Other Name | RESIDENCY TRAINING CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHARON A ADAMS CEO 309-680-7665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2022-03-12 |