| NPI | 1578752887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS D CHRISTENSEN Clinic Director 815-963-4101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: IL 7002967) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2008-06-18 |